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-%m.dMTORING WELL INSTALLATION REPO -/ <br /> �J V <br /> Date: liS��/S� CONSTRUCTION <br /> Prem ��(� ��(/� i /yLt(itr �/it� Total Depth 4 � � <br /> ise Address: Screen Length (from) (to) <br /> Well No.: ���g `�� Filter Pack (from) (to) <br /> n���� . Bentonite (from) (to) <br /> Inspector. Grout (from) (to) <br /> Drilling rig type <br /> Permit No. 1 u Auger O.D. I.D. ' <br /> S Completion - Stove pipe/ch istie box (circle one) <br /> Drilling Com,�pany' <br /> Driller: MAAAl� casing <br /> height <br /> Consult ALOA10 <br /> Geologist A80VE•Gf1CUND <br /> COMPLETION C <br /> COOMPLETIMPLEnOX <br /> ON <br /> SPECIAL ERMIT INFO. Gm+"d Sutf'a <br /> Distance to sewer line grout <br /> Domestic well on site - (yn ft. <br /> If yes, location and di stance• n, <br /> ft. <br /> ^A a O <br /> Vq = » <br /> O <br /> SAMPLING dorsi <br /> socicn = __ <br /> Holding T peratur gmvw <br /> Pack <br /> Method <br /> Screening Method Z <br /> Tracking Shcet On) •:x. __ <br /> SPOILS <br /> Storage Method �� ` �3 MATERIALS D I.OPMENT <br /> Contamination Note (y/(P)) <br /> Storage Location `'•W Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags crtype/s7izze <br /> Bucket <br /> Depth to water Bags s <br /> Mix Ratios_ih c /Q + Filter PzeInstallation Method i ox! Surge / n )Quantity Installed' / Discusologist: - (y/ nType o <br /> EH 29 29 <br />