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MONITORING WELL INSTALLATION REPORT <br /> R . <br /> Date: 1 ggNMOON <br /> Premise Address. 7' C� � c5l� l��r Total Depth <br /> Screen Length (from) (to) <br /> Well No.: Filter Pack (from) {to) <br /> Bentonite (from) (to) <br /> Inspector. Grout (gym) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. LD. <br /> Completion -Stove pipe/christie box (circle one) <br /> Drilling Company: V�� _ _ -- <br /> Driller. casing <br /> ITheight <br /> Consultant Casa�� <br /> —QV <br /> _ <br /> Geologist � ✓ N 7.//,[ <br /> JWYE-GROUND . <br /> ODAPLETION CHFUM-BOX <br /> C PgaM INFO 1'5" Ground Suiap COMPLEUM <br /> � <br /> Distance to sewer line W&A <br /> Domestic well on site - (y/n) .B- <br /> If yes, location and distance- <br /> �; ft. <br /> Ctl of w <br /> SAMPLING _ dOrcwi <br /> 60 ; Cn '$ <br /> Holding Temperature ,p` <br /> Method = IJm�Pack <br /> Screening Method - — <br /> Tracking Sheet - {y/n) ' <br /> ft. <br /> ft. <br /> SPQILS <br /> Storage Method MATERIAI§MEVELOPMENT <br /> Contamination Noted- (y/n} <br /> Storage Location Casing type_ - <br /> Blank ft. Screen ft. <br /> Slot size <br /> GRO,L'T'ING Bags cement <br /> Buckets bentonite <br /> Depth to watery f Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/n} <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> Type of method <br /> EH 29 29 <br />