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MONITORING WELL INSTALLATION REPORT <br /> Date• �// 'A ZI CONSTRUCTION <br /> Premise Addr /�rE Well No. Alto-2— <br /> Inspector: Ad Total Depth <br /> Screen Length <br /> Filter Pack-CG/fl- <br /> Bentonite <br /> ack 4MBentonite Pellets I l3 <br /> Permit No. 9z-a __ Grout <br /> Consultant Completion-Stove pipe/c istie box <br /> Geologist i- )<7«� ___ <br /> Auger O.D. <br /> Auger I.D. � U - - <br /> SAMPLING --. -- -- <br /> Holdingemperature <br /> Method 'TLc�hoJJ/ _ ► <br /> Screening Method <br /> ABOVE-GROUND MISTY-SOX <br /> Tracking Sheet ( n) OOAIPLE'fION cOMPLETION <br /> lVJ Ground Surface + •�--�+ <br /> SPOILS grate <br /> ` Storage Method 1 '��-�--ft• <br /> Contamination N ted �y��e'�s/n�o� [ n• <br /> Storage L ca 'on -�', `tl�'n b� ft• <br /> CD <br /> CD <br /> q <br /> SPECIAL PERMIT INFO. c <br /> dotted <br /> Distance to sewer line Nctian F <br /> Domestic well on site - yes/ par <br /> o Cyd <br /> If yes, location & distance <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water / Z ®® Casing type 6' <br /> Mix Ratios �13A65�ss� 2(5- Blank (e ft. Screen ft. <br /> Installation Method O Slot size -OZ-0 <br /> Quantity Installed Bags cement 2,7 <br /> Buckets bentonite ! 5 <br /> Bags sand/gravel '2 - <br /> Filter Pack type/siz%Pt► Q �7 - <br />