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ONITORING WELL INSTALLATION REPCk4 <br /> Date: CONSTRUCTION <br /> Premise AddOW: fP�,//P56 e�O Total Depth S <br /> Well No.: �� S Screen Length (from) (to) S _ <br /> Filter Pack (from) 25 (to) <br /> Inspecton Bentonjje t(from) 3 (to) 7- <br /> Grou (from) Z (m)6_ <br /> Drilling rig type1�— <br /> Permit No. l< Auger O.D. tO I.D. La <br /> C Completion-Stove pipe/christie box (circle one) <br /> Dulling Company:. <br /> Driller: — casing <br /> _ height <br /> Consultant- _ Axl' 37 <br /> Geologist �t/A T <br /> .�OUM .max . <br /> COMPLETION COMPt.OM <br /> MCIAL PERMIT INFO. t3round 8W. <br /> - <br /> I? <br /> Distance to sewer line I grout <br /> Domestic well on site - (y- n <br /> If yes, location and distance- 3 ' ft. <br /> lr� ft. <br /> .�. <br /> • <br /> .. 'i. '.�. ;.''4 a .. � 1 4Y'.:.•.Hu y t'.E'.+i:` T. -.4. <br /> ch leemp <br /> Meth <br /> ._...� t#Rwl Park <br /> .r. <br /> fL <br /> f <br /> : ."�,�.QM►,«. MATEWAGS/DEVELOPMENT <br /> Noted- y/n) <br /> Casin8t3'Pe <br /> 81 ft Screen bU R <br /> Slot size_ •Ou3 <br /> GR Bags cement <br /> w ri `Vuc'O bentonite pth tQ water - APO <br /> ,� Bags sand/gravel <br /> lu#s <br /> Filter Pack type/size <br /> Quantityleftalled Surge n <br /> Discussed with ge to ' t: - (y n <br /> Type of method d►t,, <br /> EH 29�29, �. . <br />