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`MONITORING WELL INSTALLATION REPOv'- <br /> Date., 3 ITF� ! Ct7i'3STT2.LTC'I'ION <br /> Premise Address: 13 I - , .i, 2, Total Depth S ` <br /> Screen Length (from)` + . <br /> well N*,.:_.�vu.' - F�1ter Pack (from) t 's c`' (to) ,� <br /> Bentonite (from),,. --(to) I 4_`tC'' <br /> Inspector. Grout (from) 1 (to) <br /> Drilling rig type <br /> Permit No. a=LSIL ,._, Auger O.D. <br /> Completion -Stove pipe/cnsin±eo'x (circle ane) <br /> Drilling Company:, XIA W Lda,,.;� <br /> Driller: V-ac asiri . <br /> height; <br /> Consultant rt �- <br /> Geologit ,, tit.. -A . <br /> ASOVE-GROW. 0 <br /> CCIiPl.ETit7N iS311-BMX: <br /> COMP=ON <br /> SPECIAL PERMIT INFO. <br /> Distance to sewer Tine <br /> Domesdt well on site- Cy./:n,) <br /> If yes, location and distance� r 41 . <br /> V . <br /> 0 <br /> SAMPLING aleatad <br /> Holding Temperature <br /> Method--,4-" <br /> Screening 1Vletho 1~'l E) --- ' <br /> Tracking Sheet.. _ n) `* �K <br /> SPOILS` <br /> Storage Method S>(k f^ ( ri .sn ar.. > MAT.ERIAISIDEVELOPMENT <br /> Contamination Noted- Cy tiny) <br /> Storage Locat;on_.Z=��, n. / g Casing type„ ( t1 <br /> Blank _ 3—Oft. Screen L-c ft. <br /> Slot size c LO <br /> GROUTING Bags cement I Z <br /> Buckets bentonite t C-Y� <br /> Depth to water � ' Bags sand/gravel •}.5 i t=r. (1- <br /> Mut Ratios I G+ ,i Filter Pack typelsize C` �s tt e Ccw �u <br /> Installation Method ,d� --- Surge Black: - (y!n) <br /> Quantity.Installed .%�-r f �t t Discussed with�geologist: - ( 11 n) <br /> Type of method <br /> EH:290 <br />