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"?MONITORING WELL INSTALLATION REPOk f <br /> Date: " ?,?. " CONSTRUCTION <br /> Premise Address: p rq Q4 p Total Depth 40 <br /> Screen Length (from) 37' (to) /71 <br /> Well No.: �V`'�/ $J Filter Pack (from) :1n' (to) 114, 9 ' <br /> Bentonite (from) /q,19 ' (to) /.z .'Y ' <br /> Inspector: t r .�- Pte- Grout (from) 1;2.'q ' (to) _5Ij i-6' e r <br /> .J Drilling rig type <br /> Permit No. 5 Auger O.D. ;nC I.D. . 257 " <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: TQkPiy �!', J f�Hca <br /> Driller:_ / r'ee G �/ar�'�— casing <br /> i e— -P ¢YCe- V e10SK C�fi kL height <br /> r i <br /> Consultant cJ <br /> Geologist tj0 �r[)h n P�r •- <br /> /ABOVE-GROUND <br /> CO W LET{O NtCO <br /> X <br /> SPECIAL PERMIT INFO. met Fl D Gmund Surface N <br /> ,Kq <br /> Distance to sewer line �'.S� 51 G `l 0fout <br /> Domestic well on site - (y/ n� <br /> If yes, location and distance - /� � �O f�'n 9 h, <br /> lUA- 19' 13pe", jt ft. ft. <br /> ✓0 <br /> SAMPLINGS <br /> slotted — c <br /> q soc�on <br /> Holding Temperature <br /> Method 1 C-e- i„ Q• 4rsv81 Pack <br /> Screening Method '— <br /> Tracking Sheet V n ) _ <br /> .3 7 ft. _ 40 ft. <br /> SPOILS <br /> Storage Method Sllt-u dnjen s MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y n ) �D <br /> Storage Location an Ji�� Casing type o7 �' �'� �J�C PV <br /> Blank 4*7 ft. Screen ft. <br /> Slot size p, n/D <br /> GROUTING Bags cement <br /> Buckets bentonite / i r� <br /> Depth to water St b Bags sand gravel <br /> Mix Ratios 0 haus/'� I � f ^'1� /mss A42.0 Filter Pack type/size <br /> Installation Method_ Doy iSte ,�a�v Surge Block: - (y/(g <br /> �f <br /> Quantity Installed Discussed with geologist: -U n ) <br /> Type of method j <br /> EH 29 29 <br />