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NONITORING WELL INSTAXJATION REPORT <br /> t <br /> U� <br /> Date= 7 QONSTRUCTION <br /> Premise Address:/� 4)c-k, well No. 1�74') 0-5 <br /> Inspectors Total Depth YG' <br /> 4 Screen Length gN-1'51 <br /> Filter Pack <br /> Bentonite Pellets 'J-A� ' <br /> Permit No. / Grout U --n'it t'- <br /> Consultant ^71 G '. s Completion-Stove pi c ristie box <br /> Geologist <br /> Auger O.D. C> <br /> Auger I.D. G' <br /> SAWMXNa <br /> Holding T rature <br /> Method '7 <br /> screening Method <br /> ABOVE4ROUND 4= <br /> Tracking Sheet (y n COMPLETION CHF1STET" <br /> COMPLkT10N <br /> SPOILS <br /> o►«x <br /> storage Method <br /> contamination Noted - yes O R' <br /> Storage L�cation n' <br /> 01 <br /> 4. • <br /> §_w <br /> SPECIAL PBRMIT :INFO. : ;^ ' <br /> / �iOt1�d :ii <br /> Distance to sewer line ` <br /> Domestic well on site - yes n = pack <br /> If yes, location & distance - <br /> <}v., <br /> oM ,M <br /> GROUTING <br /> MATERIALS USBDt <br /> Depth to water ZZ i Casinq type_„6 f C <br /> Mix Ratios Blank ft. Screen /C7 ft. <br /> Installation Method Slot size - C27 <br /> Quantity Installed Bags cement <br /> Buckets bentonite 2 c' f <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> C(OPY <br />