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MONITORING WELL INSTALLATION REPORT <br /> Date: `�� I O 6 CONSTRUCTION <br /> Premise Address: + 'z t r0.ClV/l G Total Depth <br /> Screen Length (from) 30 (to) SIS <br /> Well No.: [M W 1 Filter Pack (from) ax (to)qS <br /> Bentonite (from) a h (to) '? <br /> Inspector: V7 A co% LGrout (from) •ems (to) Z.6 ' <br /> Drilling rig type l A?-- <br /> Permit No. L n 9 ` Auger O.D. <br /> Completion - Stove pip dhrisde bos ( irde one) <br /> Drilling Company: — <br /> in <br /> Driller'. ('� r C/�Mrs + �mt� �- F <br /> // ^^• height <br /> Consultant ( OA `Tni C '� \ <br /> - 6 <br /> Geologi � lBCVE-GRCUND C!-ASIY•30X <br /> (X7l,S't��7ION GGa4t?tc'-T7CN <br /> SPECIAL PERMIT INFO. "'� G=nd S� <br /> pea.: <br /> Distance to sewer line , <br /> Domestic well on site - (y/ '-� ��' It• <br /> if yes, location and dis ce - 30 n• <br /> IIO A� <br /> SAMPLING soden _ <br /> Holding Temperature .r1t r-C <br /> Method == _ <br /> Screening Me od 7lD <br /> Tracking Shcet - (41 n) u = t <br /> n• ft. <br /> SPOILS <br /> Storage Method - MATERIALSMEVELOPMENT <br /> Contain nation No[ed - y n s' <br /> Storage Location ✓� Blankg type l �� pV s een 30 ft <br /> Slot size . 02-0 <br /> GROUTING Bags cement..i t i <br /> Buckets bentonite ! 6r <br /> Depth to water N � Bags sand/gravel n� <br /> Mhz Rados N Filter Pack type/size Z <br /> dltstalladon ethod Surge Block: - ( y/ n <br /> Quantity Installed v t o v Vn- -3- -2 Discussed with geologist: - ( y <br /> Type of method <br /> EH 29 29 <br /> rt <br />