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i <br /> MONITORING WELL INSTALLATION REPORT <br /> i <br /> Date: r r : !�c7 CONSTRUCTION <br /> Premise Address:_ 54(9( r Well No. M LJ # <br /> Inspector: Total Depth 0-1-1 4!� Y <br /> Screen Length z a <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. 90 - ��z Z Grout <br /> Consultant -r-,z �/ Completion-Stove pipe/ hristie bo <br /> Geologist �.azZE// A&-4n4S <br /> Auger O.D. T <br /> Auger I.D. <br /> SAMPLING --- <br /> Holding Temperature Y° C stlNdc-up <br /> Method 13(ve 4 Ca,JsNcb rcc <br /> Screening Method �z�GC,,,,o -i <br /> ABOVE-GROUND CHRISTY-BOX <br /> Tracking. Sheet &n) COMPLETION COMPLETION <br /> SPOILS 'end Surface + <br /> --.�� praut <br /> Storage Method <br /> Contamination Noted - yes/no »• <br /> Storage Location on( 5,J� c�. �. 3' 9 n• <br /> SPECIAL PERMIT INFO. = x <br /> c <br /> _ o <br /> c <br /> Distance to sewer line �eetlton B <br /> Domestic well on site - yes/no graP <br /> ack <br /> If yes, location & distanceveI <br /> z S',ON ft. _ e s-.6 ft. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water /d Casing type o� S-Cf/ 4/6 ?VC. <br /> Mix Ratios E i Blank , S"'' ft. Screen Z O ft. <br /> Installation Metho r`2d baa// Slot size 0. O/of, <br /> Quantity Installed ',f Bags cement' 2 <br /> Buckets bentonite /z <br /> Bags and gravel z <br /> Filter Pack, type/size -4(3 1 <br />