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WTORING WELL INSTALLATION REPOT* <br /> C o'31Lcr�°n �rs; �6o-L alaj k 604aei <br /> Date: / ( (' / Q 18�,5ejveVCONSTRUCTION `7�� d1yN,[uh�rlseNlnSwJr!/ �1 <br /> Premise Address: SQ W ,y,(� t ' <br /> P„ I�LTotal Dep[hY(LGLc Up/YGrGEd i 2e G�! �� <br /> Screen Length (from) 60 ' (to) is ' <br /> Well No.: - V/!s! 7('j 16«trA� bgJLe4�F lter Pack (from) I'd (to) YS <br /> / y� {a�eetr�dl,OAtia'renronite (from) 1/-8 (to)� <br /> Inspector, C Grout (from) SLG ' (to) <br /> ,(( Drilling rig type l-,W - SS <br /> Permit No. D O Sot Y a p�1ez„�rers Auger O.D. /S i n.ch 4- i nrLD. z� &6"s <br /> //�1 lirtasry ompleetioo - Stove pipe/ irisde ox circle one) <br /> Drilling Company (�-sAi1d. G1Jh 'le- /hsh� mG✓ 7G- P�n�uure�arra(�/or <br /> Driller:_ ArYL4Al - A /r4L1 o casing ska�ja <br /> 1/17�os Asslrf e-X Ua.Yo, L 44soxa 7cn �gvidsrn �� height ` <br /> Consultant_ Ag A7> 1'5' 11s�'_r + <br /> i-n a•z�l-0 9 L_ <br /> Geologist.yTJ v ARCADtJ _ <br /> A80YE-GFCUND <br /> -n•o8 - �, 11Gi,�i,r. t�� / 19CCRs rs CCkFLErCN >srr <br /> 1- ¢µ•u9 Qrbtf K re) bi esl - FfG6G f1 d??d 1-/p'UP CCMPLE71ON <br /> SPECIAL PERMIT INFO. � RY�- o Ground Suiaca <br /> Distance to sewer line u n o a 1 N /C"11 -1-5- Aran <br /> Domestic well on site - (y/� //-11.5 a,4 / <br /> /2-135 .2.8 <br /> If yes, location and distance - 14-15- 5,6 tt- <br /> 15-15.S y,rf d tt. <br /> )4-17 6, l <br /> 1 7-17S 5-.17 .e.. = a <br /> 18 •19.5 13.S = a <br /> so-21 - iso = <br /> SAMPLIN12,3 = <br /> .22 -23 149 dorud <br /> c c<7cn EZ <br /> Holding Temperature 605 <br /> Method .24 <br /> Screenin-Method 76 -27,5 632 <br /> Tracking Sheet - iei n ) — 28-29,5' q93 <br /> �Ur1IlnU0IJY (J P.JP�f l.SFe� 18.5-29,5367 _ <br /> �JcJ <br /> 14-30.5' .217 O tta <br /> SPOILS 30.5--3/5' 56- <br /> 32 -33.5 /6 31 <br /> Storage Method S 3r/_35'5'13 MATERIALS/DEVELOPMENT <br /> Contamination Noted • 36-37.5 1y6 9 <br /> Storage Location &-Y2 S i f e-, 3g_39 1 5'61 Casing type .2-'j 1+C)1 <br /> ?9-?9.5' ZSP lank 6U ft. Screen /U ft. <br /> GROUTING .Slot s�ehY nt 0. 610 <br /> n ar <br /> {4-S/( /38 a c t , 1-ey-• I ' 7 b 42s4l;frT ILSC <br /> _ 41 913 2e3)61Y Bucicts bentonite_ 1-so bneiut Pe,16)4 'Pail&418, <br /> Depth to water- 13. 5 y2 93. 1G,S Bas sand/gravel 50-1b e 'y nsy <br /> Mix Ratios ,v 2 p µ3-435 ,,qBag, <br /> p�(/e,,. r • e�aA-�.- -1-z� bc�r eo�.,�r!-kilter Pack type/size- 2.11 Z <br /> Installation Method Surge Block: - ( y A) <br /> Quantity Installed z -/b 'T' la-'l-W-74-Discussed with geologist: - (®/ n ) <br /> -Fo- nmx turlfc+- Edsr l:zW1114"�Type ofmethod <br /> EH 29 29 Gas)rt.5 us�a 0- <br /> P I D "d s r 2� o$ 58 - 59.5 bj+L11e1 efdti,.c, G• <br /> 1 60 - 61.5' 1, �rM y, gvo�lb�ul. <br /> 1S,sp1�.w . O <br /> 55, <br /> tit, - S7 •S - 9./ <br />