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• MONITORING WELL INSTALLATION•ORT <br /> I <br /> Date: (]�13 CONSTRUCT <br /> Premise Address: Total Depth HE <br /> Well No.: Screen Length (from)' 108 (to) 110 <br /> Filter Pack (from) 10C (to) <br /> Bentonite' (from) 101 (to) <br /> Inspector: J y (DCII/� Grout (from) 1 (to) <br /> --1a L_ <br /> Drilling rig type C M F_ �j T i <br /> Permit No. Auger O.D. I.D. <br /> ns a bo (circle one) i <br /> Drilling Company: 60.Scac(t. Completion- Stove pipe/ <br /> I <br /> Driller:_ Ton4 SS(s Zsi casing 1 <br /> height P <br /> Consultant42CA D1'S <br /> i <br /> Geologist <br /> ABOVE-GROUND C71FiISTY�OX <br /> COMPLETION <br /> SPECIAL PERMIT INFO COMPLETION <br /> Ground Surface <br /> Distance to sewer ' e <br /> grout <br /> Domestic well on ite - (y/n) 1 1 <br /> If yes, location d distance - h. <br /> ft. <br /> m _ <br /> SAMPLING gi <br /> o <br /> Slotted <br /> Holding TZthq <br /> erature Saclon <br /> — <br /> Method = Q"'W pack <br /> Screening _ <br /> Tracking Sheet - (y/n) <br /> z <br /> 110 ft. = 1S' n. <br /> SPOILS Lj <br /> Storage Method MATERL4LS/DEVELOP ,NT <br /> Contaminatio oted - (y/n) <br /> Storage Loc on Casing type I C k 0 2 /ovc <br /> Blank 1 t7 k ft. �r Screen 2 ft. <br /> Slot size 0. 010 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method . Surge Block:__(_y/ <br /> Quantity Installed Discussed with geologist: - (y/n ) <br /> EH 29 29 Type of method <br />