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OMONITORING WELL INSTALLATION REP* <br /> Date: `c' L-I' CONSTRUCTION <br /> Premise Address: Total Depth 5d 4 2.5' s 11'} + -P� <br /> Screen Length (from) 4-4.rj (to) q S <br /> Well No Ali 102• Filter Pack (from) 5a (to) 43 5 <br /> Iy Bentonite (from) 43. 5 (to) 4 1 <br /> Inspector: Grout (from)—(to)— <br /> Drilling <br /> from) (to)Drilling rig type bV4 5 <br /> Permit No. Auger O.D. IV i- 8" I.D. <br /> UY �11 Completion - Stove pipe c ristie bo (circle one) <br /> Drilling <br /> Company: \ I Ih <br /> Driller: 1�D�J�^� vac- casing <br /> height <br /> Consultant AA�1CGLO�(rG` T )/PCmcS <br /> yL <br /> Geologist ' 1Y N Ic ft 1 <br /> ABOVE-GROUND <br /> COMPLETION C <br /> COMPLETION MPL <br /> SPECIAL PERMIT INFO. ✓fig ��Ground Surf'c <br /> gn <br /> {� 3q grout <br /> Distance to sewer line <br /> Domestic well on site - y n 3 <br /> If yes, location and distance - ry, <br /> C7oU�l'l P�5-� I l'Z I h. <br /> = m <br /> — e <br /> = c <br /> — o <br /> SAMPLING slotted _ c <br /> .on — <br /> Holding Temperature aCLQ uC r = gravel pack <br /> Method 1L2 GI1L5± w�Gy u5l�e L4 <br /> Screening Method -PI-D <br /> Tracking Sheet - Cyrpn ) n. LIM n. <br /> SPOILS 11 <br /> Storage Method Dr J E G MATERIALS/DEVELOPMENT <br /> Contamination Noted - Qy ' n ) 211 <br /> Storage Location 43✓1 Stk 1 5 mat Casing type <br /> Pv)w to Blank y$ fr. Screen 47.5-—LIS fr. <br /> Slot size b 2 D Aro <br /> GROUTINGVWAA � 8-t- I � ` "`l1 tv�cl(x Q Bags cement �.�, n <br /> Buckets bentonite - 1 (57 �b /4 pelts <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> I^ (� Type of method 5vn blo�l� Q e v� o F <br /> EH 29 29 � )(�(� I✓ <br />