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MONITORING WELL INSTALLATION REPORT <br /> Date: z l zZ -Zs J l0 CONSTRUCTION <br /> Premise Address: 5.1 -�('T ��,Y Total Depth �O <br /> Screen Length (from) ` (to) _ <br /> Well No.: Sp- 5 °�' S P ' 1,f� 3 +Z Filter Pack (from) (to) SD <br /> Bentonite (from) 140 (to) Y/, S <br /> Inspector: ))1446C12) Grout (from) <br /> Drilling rig type <br /> Permit No. S 33 Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:_. <br /> Driller: TT casing <br /> height <br /> Consultant S hU LA) <br /> Geologistl.'/L 1(1 \27�t'o A 31, <br /> ABOVE-GACUND <br /> COM?LETION CHAISTY 80X <br /> COMPLETION <br /> SPECIAL PERMIT INFO, Ground Surface <br /> Distance to sewer line grout <br /> Domestic well :and <br /> site - (y/ v <br /> If yes, location di ce - •S ft. <br /> ft. <br /> C <br /> SAMPLING = <br /> aloMad <br /> aaaaon — <br /> Holding Temperature (7tn t r_�cacx <br /> = . <br /> Methods ( 5,90cA- <br /> Screening Method�T <br /> Tracking Sheet -0/ n ) — <br /> vv `1'9 ft. — S0 n, <br /> SPOILS 00-- <br /> Storage Method 5— 6741(A� MATERIALS/DEVELOPMENT <br /> Contamination Noted y n ) <br /> Storage Location Casing type Z V °L <br /> Blank '-/ 5– ft. Screen <br /> Slot sizey z v <br /> GROUTING Bags cement ti I >,– <br /> Buckets <br /> Buckets bentonite <br /> Depth to water N 30' Bags sand/gravel <br /> Mix Ratios/-L ~ Filter Pack type/size Z 12- <br /> Installation Method Surge Block: - ( y/�n) <br /> Quantity Installed N 106 5eAl l", Discussed with geologist: - (y/6 <br /> Type of method <br /> EH 29 29 <br />