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OONITORING WELL INSTALLATION REPO <br /> Date: 2 - Z(o lCi2 CONSTRUCTION <br /> i <br /> Premise Address: 1 G Lick (O<D P Total Depth 20 <br /> Screen Length (from) 2.S ((to) LoT <br /> Well No.: Ho- 4 Filter Pack (from) 25 (to) f3 <br /> Bentonite (from) R ' (to) (o r <br /> Inspector. S • rvCbl t3 h�C Grout (from) (o' (to) B– <br /> Drilling rig type <br /> Permit No. I-I Z – OSIE Auger O.D. /0.2 IS�D Za <br /> Completion - Stove pipe t tfr stie box (circ cle one) <br /> Drilling Company: <br /> Driller: hoeLLU �n <br /> casing <br /> height <br /> Consultant A//(r!? g4S �Y p 4 <br /> Geologist K&'1f; MUk��u AND CtiAISiY BOX <br /> COM1iPLETION COMPLE'nON <br /> SPECIAL PERMIT INFO. G=rd Surface <br /> Distance to sewer line <br /> r grout <br /> Domestic well on site - (y/ n ) ft, <br /> If yes, location and distance - <br /> ft ft. <br /> — c <br /> SAMPLING dorad <br /> Holding Temperature 40G _ srayw c4CK <br /> Method i Cyc CXLPxvb _ <br /> Screening Method r; <br /> Tracking Sheet - y n ) X. <br /> tt. — M <br /> SPOILS <br /> Storage Method t)�, Myjx S MATERIALS/DEVELOPMENT <br /> Contamination Noted - f1 n ) to a i5' <br /> Storage Location �( St m– Casing type z �l�- 40 iA(G- <br /> Blank-----LLL—ft. Screen 16 ft. <br /> Slot size 020 <br /> GROUTING Bags cement 3 r3a(,S <br /> 1 Buckets bentonite U�r. <br /> Depth to water 17 Bags sand/gravel U. j. L <br /> Mix Ratios ti 8 G!M S ( (?aCi Filter Pack type/size +,3 <br /> Installation Method CjeLAs 'AL1.._ Surge Block: - ( y/D <br /> Quantity Installed 3 t��� (�/� Discussed with geologist: - (Q n ) <br /> Type of method 1JI01 <br /> EH 29 29 <br />