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N ITORING WELL INSTALLATION RE ? <br /> r <br /> Date: '4 ( / 7 ?/ CONSTRUCTION <br /> 7 r' <br /> Premise Address . ��� /�. CC � Total Depth <br /> Screen Length (from) IFO (to) <br /> Well No. : Filter Pack (from) 4( 0 (to) o <7 <br /> Bentonite (from) ! I . 5� (to) l3 <br /> Inspector: Grout (from) S (to) <br /> Drilling rig type . <br /> Permit No. �z �73 Auger O.D. ZI lq I.D. 7>"Y <br /> Completion . Stove pipe/christie box (circle one) <br />� Drilling Company: L .r"'Q-� <br /> 61 <br /> Driller: casing <br /> Consultant <br /> 17T height <br /> Geologist / 1/ 1�� <br /> ABOVE=GROUND CHRISTY80X <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. G=rd Surface <br /> Distance to sewer line AJ/4 °f Out <br /> Domestic well on site - ( y ) yZ <br /> If yes, location and distance l / It` <br /> f S no 3 a. <br /> ma <br /> SAMPLING <br /> slot ed — <br /> � dc J seCicn ir Ali <br /> Holding Temperature 6nw 2�, I(0 = pavdpadt <br /> Method �3 / o4i D / <br /> Screening Method / cwry ku_ N ( — <br /> Tracking Sheet - n ) M <br /> 's <br /> SPOILS pp <br /> Storage Method to MATERIALS/DEVELOPMENT <br /> Contamination Noted J ( n ) <br /> Storage Locadon G Casing type <br /> Blank (J — /S ft. Screen. /�) ft. <br /> Slot size <br /> TI <br /> GROUNG Bags cement <br /> Buckets bentonite / <br /> Depth to water ICA. Bags sand/gravel_ / 3 . H — fl <br /> Mix Ratios Y &t�lll Filter Pack type/size L-b . <br /> Installation Methods & z4, Surge Block: - ( y 1 ) / <br /> Quantity Installed Discussed with geologist: - 0 / n-j <br /> Type of method <br /> EH 29 29 <br /> �cz / z� ✓ lAr� <br />