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MONITORING WELL INSTALLATION Rhr*5RT <br /> Date: �-' � � � <br /> CONSTRUCTION <br /> Premise Address: 7�7f Total Depth 26 <br /> Screen Length (from) 5 (to) 2-5-- <br /> Well No.: MW Filter Pack (from) 3 (to) Z15 <br /> N C Bentonite (from) /,5-- (to)_ 3 <br /> Inspector: Grout (from) / (to) <br /> j,/( S Drilling rig type HS- <br /> Permit No. Auger O.D. 8/01 I.D. <br /> Drilling Company: <br /> S� Completion- Stove pipe/christie box (circle one) <br /> �- . <br /> Driller: ��y (7ldiy casing <br /> height <br /> Consultant T1.T <br /> Geologist <br /> ABOVE-GROUND <br /> COMPLETION 0-RLM430X <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) <br /> If yes, location and distance - ft' <br /> ft. ft. <br /> SAMPLING <br /> slotted -: <br /> aecaon <br /> Holding Temperature -: <br /> Method _ wave,Pack <br /> Screening Method <br /> Tracking Sheet - (y/n) <br /> x — <br /> ft. ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n ) 2'` <br /> Storage Location Casing type <br /> Blank ft. Screen S-ZS ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water 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 3� t -l.rq.rt <br />