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i- <br /> OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Data: ! � CONSTRUCTION <br /> Premise Address• rJElA011. QAL �� Well No. <br /> Inspector•. Total Depth <br /> 44&- <br /> Screen Length <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. -2 � Grout <br /> Consultant � . Completion-sove. pip christ ee b <br /> Geologist <br /> Auger 0.D._-0 it -- <br /> Auger I.D. <br /> SAMPLING <br /> Holding Temperature scamp <br /> Method <br /> Screening Method <br /> S 4im t4m AE&E-GROUND CHRISTY-BOX <br /> Tracking Sheet On) OOMPLUCN COMPLETION <br /> Ground Surface <br /> SPOILS <br /> grout <br /> Storage Method <br /> Contamination Noted /ria <br /> ft. <br /> Storage Location Mil. 0 ,^ <br /> m <br /> a <br /> m <br /> SPECIAL PERMIT INFO. c <br /> o <br /> gloried <br /> Distance to sewer line sedon 2 <br /> Domestic well on site - yesg;-5 _ grav*1Pack <br /> If yes, location & distance - ' <br /> 112 <br /> GROUTING • <br /> MATERIALS USED: <br /> Depth to water. 2 5 Casing type <br /> 2" <br /> Mix Ratios �- Blank�� ft. Screen 2�� ft. <br /> Installation Method Slot size •02. <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Sags sand gravel <br /> Filter Pack type/size ?/ <br /> Total Billed Time Per Site <br /> Date Permit Finalized9-13-20 <br />