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MONITORING WELL INSTATIAZION REPORT ... ......-� K <br /> UC`TON <br /> DCON � . u S• <br /> _ t <br /> t � � <br /> pr ` `?A ` <br /> emiseAddress: <br /> Total Depth` <br /> ' Screen Length (from) <br /> Filter Pack (from)... 4 (te) q;t- <br /> Well No. - Bentonite # (from) ' (to)— r— <br /> Grout (from) <br /> lnspector: U _ �" _-s7.. rig We � , 4. <br /> _ Auger O.D. S _ I.D. <br /> Permit No. Completion-Stove pipe/chrisue box (cireie one) <br /> Drilling Com or <br /> -9 <br /> CoJ , <br /> Cansultan�„� <br /> r Y/� <br /> Geologist _ -. <br /> 0 j. <br /> SPECIAL avRUn T INFO: Gv=d Suter <br /> ,. <br /> Distance to sewer li,IIe,... �:.... <br /> c so• . <br /> Domestic-we-To-n. sire - (y/ ; <br /> If yes, location and dismnce <br /> E F i 1 <br /> ?\3C` <br /> pack <br /> Holding Temveramre <br /> Method (stGtrra i <br /> Screening Merhod LL _ <br /> Tracldng Sheet= �y/ n) -: ._ _ ':ft- <br /> SPOILS <br /> TAIS/DEVnOPMENT, ,t <br /> Storage Method m - <br /> onNated'-'(y/ n) i <br /> Contaminate Casing type .,` <br /> fT <br /> Storage Location B fL ;Screen r t <br /> 3 ' Slot size '' o i <br /> ,,,.. .. Bags cement /N" <br /> t { <br /> Gr'Z C' f L a " " Suckers bentonite' <br /> Bags sand/gravel ^� 6 <br /> - <br /> Depth to:ware: - r" x" FEte:Pati typesize <br /> Mix Ratios a _ Surge Block - n) <br /> - Installation Me*hod ` Disctused with geologist <br /> Quantity Ins:lled /`/ r7 _ _ Type"of merhod <br /> EH 29 29 t <br />