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MONITORING WELL INSTALLATION REPORT <br /> Date: 3 <br /> CONSTRUCTION <br /> Premise Address: 2.`i 77f eP97-IKesoN Pw Ie RJ Total Depth I I A <br /> 5 7 Screen Length (from)' 101-1 ' (to) 1 <br /> Well No.: Filtei Pack (from) 102 (to) II I <br /> Bentonite (from) (to) 102.1 7-I• yoftC l Grout (from) I (to) y 7 <br /> Drilling rig typeG C m C -is- <br /> Permit <br /> I- <br /> Permit No. _ S 4 cn �> Auger O.D. 6 ' I.D.- <br /> Completion- Stove pipe/ •'stie b (circle one) <br /> Drilling Company: 45�$r7G <br /> Driller: 770>2K casing <br /> Am <br /> /Y'/< <br /> Consultant m p 1s <br /> Geologist 5I.4V(K P!-nx _ <br /> ABOVE-GROUND <br /> COMPLETION C4-fRLM480X <br /> SPECIAL PERMIT INFO. Good gY,y COMPLETION <br /> Distance to sewer line "ou, <br /> Domestic well on site - (y/ ) q 7 tt. <br /> If yes, location and distanc - <br /> 1 ( ft. ft. <br /> 4Y = m <br /> P <br /> - O <br /> SAMPLING = 3 <br /> slotted <br /> Holding Temperature _ P <br /> Method <br /> Screening Method <br /> w — <br /> Tracking Sheet - (y/n) <br /> 10 G tt, tt. <br /> SPOILS <br /> Storage Method UQItM `� 1E 1I f <br /> MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> Storage Location P9RK we tuP Casing type Sc � go 2 FSC <br /> Blank 10 LI ft. Screen <br /> Slot size 0- 010 " <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water �' Qy Bags sand/gravel <br /> Mix Ratios Filter Pack typesize L/!Z 54Af <br /> Installation Method Surge Block:--(-y/n_)_--- <br /> --- <br /> Quantity Installed Discussed with geologist: - (y/ n) <br /> EH 29 29 Type of method <br />