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l <br /> -�, '3•. �35TALLATION <br /> rr�, '"y1O1+]ITORING WELL <br /> Dt CONSTRu�ON <br /> Date: 7 Total Dept (to) <br /> Steen Length (from) (to) . <br /> premise Address: Filter'Paclk (from) (to) <br /> Bentonite (from) {to) <br /> Well No.: Grout (from) <br /> Drilling rig type I.D. <br /> inspector: huger O.D. <br />. Comp <br /> letion - Sto a pipe/��t1e box (circle ane) <br /> Permit No. <br /> 2. <br /> Drilling Company: T ` cas i.nq <br /> T � haighc T <br /> Driller: � 7 <br /> } <br /> Consultant _ <br /> Geologist =W!ETION CCMPL=--':CN <br /> CWWrx3 Sutaca <br /> t � <br /> SPECIAL PERMIT INFO. gr°ut <br /> Distance to sewer line . <br /> Domestic well on site - ( y n - ` <br /> If d distance yes, location an - •�� <br /> 3 <br /> e <br /> s <br /> t[ottad w: a <br /> Sl cn <br /> Holding Tempera <br /> tilrer.'.: <br /> Method <br /> Screening Method <br /> Tracking Sheet - C Y n ) J �r M <br /> _�..AL �— <br /> SPOILS <br /> MATER�ALS 'DEVELOPMENT 14. <br /> Storage Method <br /> Contamination Noted - (Y Casing type <br /> Storage Location $lank ft. Screen <br /> size <br /> Bags cement <br /> GROUTING Auckers bentonite. <br /> Bags sand/gravid <br /> Depth to water Filter Pacts type/size <br /> Mix Ratios Surge Block: - (Y/ n ) <br /> Installation Method Discussed with geologist: <br /> Quantiry Installed Type of method <br /> EH 29 29 <br />