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_JNITORING WELL INSTALLATION REPO. <br /> Date: 3 ' ' w CONSTRUCTION <br /> Premise Address: �4q WVgZ - ILemt/ Total Depth � 5 <br /> J Screen Length (from) (to) S <br /> Well No,: On AA — Filter Pack (from) (to) <br /> �Srl <br /> Bentonite (from) (to) <br /> � <br /> Inspector: Grout (from (to) H— <br /> n Drilling rig type 1�14" r <br /> Permit No. `` � ' O 74 Auger O.D. /l1� I 2 <br /> Completion . Stove pipe/ ui t1e box circle one) <br /> Drilling Company: )elSY"CV, . /�tziW4 <br /> Driller: Z"f<Z (� Mcasing <br /> / ^ - height <br /> Consultant dAtAr: 6'Q2)gvy � ,er . ftoio <br /> bw e - <br /> ABOVEd3ACUND <br /> Geologist < CNAIgTY BOX <br /> OOWLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sumacs <br /> Distance to sewer line d <br /> grout <br /> Domestic well on site - ( y ft. <br /> If yes, location and distance <br /> WA ft' <br /> It. <br /> SAMPLING slot od <br /> asC'cn F =_ <br /> Holding Temperatures _ � � <br /> Method / _ J — <br /> padt <br /> • ' <br /> Screening Method <br /> Tracking Sheet - / n ) :4.' <br /> fL <br /> SPOILS <br /> Storage Method ) )(MH MATERIALS/DEVELOPMENT <br /> Contamination Noted - fa n <br /> Storage Location DAI 4th Casing type v2 S64 40 WC <br /> Blank S ft. Screen 2v ft. <br /> Slot size O, 010 <br /> GROUTING Bags cement — — <br /> / Buckets bentonite / <br /> Depth to waterBags sand/gravel <br /> Mix Ratios K SxZ )4AZi Filter Pack type/size <br /> Installation Method 7zf4iat L Surge Block: - ( y / to <br /> Quantity Installed Discussed with geologist: - (IV n ) <br /> Type of method <br /> Eli 29 29 <br />