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MONITORING WELL INSTAU.ATION : }RT <br /> I I U CONSRUCiION <br /> Date <br /> Total Depth it <br /> pre_nise kddress,: Screen Length <br /> ViA Film- pack Cf=om),' (to) <br /> Well No.: z4, _ (to) _. <br /> Beatonite (Ixom)' rf <br /> VAJCrou= (gym) <br /> Q Inspector: Dulling rib type <br /> O <br /> Auger. .D._ I.D. <br /> Permit NO. s� <br /> rJ Compietion -Stove pipe/d;dit stie box (circle one) <br /> rz- <br /> Drilling Company. <br /> casin9 �7 / <br /> �i14W fir' 8 <br /> al <br /> consultant - - A, <br /> Geologist ��t1 c r� ,�c+r�.s�cunio B'ox C-Sz-,Y-acx <br /> SPEC, p 17 WNF ti <br /> IS <br /> No rgun <br /> i p f 0!0 , <br /> Distance to sewer lineder <br /> E Domestic wee? on site - C Y/ n } t N�4 P"� Beni <br /> if yes, location and distance - I <br /> r ! II "j = gP,t+ <br /> Sr�iVLprLING �� Ca�GYI tlat4sd — he ahl I <br /> Fo b 1A��y` A. <br /> AWT �^ <br /> Holding TetIIpe_rature C� l� "� t <br /> Method <br /> SC <br /> Scre..nin.g Merhod f .b <br /> i k Trat;�Cing Sheet - C Y/ n — <br /> r <br /> 6O D <br /> f <br /> 1 w oe ou ea �tok 4n <br /> SPOILS ays Sr <br /> Storage Method <br /> Contamination Noted - C y/ n ) J S� Saxv� <br /> Casing type <br /> Storage Location Sb r Blank fn S=een— ft <br /> } Slat size <br /> GftOU'I'ING Sags cemennt'i k5 <br /> Buckem bentonite <br /> _ ._ -- Bags sand/�vel � <br /> ��I- Depth to water Flter?ack rype/size 'e <br /> � :Mix Ratios -� 4 ' <br /> i;istalladon Method S � Surge Block'- (y%:a} <br /> 7iscl_ssed vi�h geoiogisn - C Y/ n ). <br /> Quantity Installed Zo Type of method ' <br />