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y s R.iNITORING WELL INSTALLATION REPO <br /> - I <br /> r <br /> Date: )t /Q CONSTRUCTION r j <br /> 1 �GL �� Total Depth 90' <br /> Premise Address: Screen Length (from) (to) <br /> Well No.: nlJ D1S- 4- Filter Pack (from) 0. (to) <br /> Bentonite (from) (07 (to) <br /> Inspector. `�Gt�1�c3tia Grout (from) /oy_(to) $- <br /> Drilling rig type <br /> Permit No. Auger O.D. I <br /> Completion - Stove pip uistie bo (circle one) <br /> Drilling Company. a <br /> Driller: ALA casing <br /> T height <br /> Consultant -EWT <br /> Geologist LO A80VE GRCUND <br /> OOWLETION COMPLETION j <br /> SPECIAL PERMIT INFO. Cirautd S�afxt <br /> proof <br /> Distance to sewer line <br /> 97/ <br /> Domestic well on site - (y ) - <br /> If yes, location and distance - ft. <br /> SAMPLING _ dorsdSOCIGn <br /> _ 3 <br /> Holding Temperature 40 r- ytaval pads <br /> Method 1 Tisa IGur <br /> Screening Method <br /> Tracking Shcet n) Cn = <br /> lv/ qQR. ft.SPOILS ;f . _ -�--O. <br /> Storage Method CSI MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y <br /> Storage Location 9tJ �tIn Casing type -9C14- 40 AIC, <br /> i <br /> Blank----Z!!—ft- Screen----2L—ft- <br /> Slot <br /> creen20ft.Slot size Q. 0 9.0 <br /> GROUTING Bags cement <br /> I Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios 1t1C rt I Filter Pack type/size <br /> thd �-M 3 Loos, L <br /> { Installation MeoP i �l+ t lt£ Surge Block: - f�y 'n ) <br /> € Quantity Installed Discussed with geologist: . (®/ n) <br /> Type of method i uqd E(6uX 1�1t11 <br /> { EH 29 29, <br /> ; M <br />