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a 7 <br /> MONITORING WELL INSTALLATION REIN. T <br /> 3� <br /> Date: �� CCONSTItUCI'ION <br /> Premise Address: Total Depth <br /> 150 <br /> Screen Length (from) (to) <br /> Well No.: Filter Pack (from) :(to) AA <br /> Bentonite (stn) (m) <br /> Inspector: Grout (from) (to) ?-- <br /> Drilling rig type ✓` <br /> Permit No. 23 ,3 Auger O.D. <br /> : <br /> Wei N�Z 1, completion-Stove pe istie box ircle one) <br /> Drilling Company�; _ � � Sca Stora casing <br /> l T height: <br /> Consul tau o�o tc�t �Ct[� <br /> .,:Geo D y"►E� <br /> AB�O/�VERrGROUND <br /> W c, tstt-aox <br /> a <br /> COMPLETION COMPLETION <br /> Ground$urfa f <br /> Wcut <br /> ott.alae- (Y n) 46 ..K. <br /> B_%ate lstt�ncer,, 48tt. <br />' tt. <br /> pa* <br /> - 4th <br /> et - (y/n) � . ..- <br /> -- % <br /> SturageUethod �5 9 drams MATI?RIALs/DEVELOPMBIV� <br /> Contamination Noted - (yn} Vt \c <br /> Storage Location 2lbr► Blank tYP ,P <br /> 50 ft. Screen & <br /> Slot size Z.. <br /> GR�OLMNG Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/sl�e <br /> installation Method Surge Block: - <br /> Quantity installed Discussed with ge t: - (y/ <br /> {� Type of method 't <br /> EH 29 29 Y�to an <br />