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a MONITORING WELL INSTALLATION REPORT <br /> I � <br /> Date: !l) IZIG`r <br /> CON�ON <br /> Premise Address:- Zy fl5 <br /> Total Depth fr-' <br /> Well No.: /h (A� — Screen Len <br /> gth Mom)_ <br /> Inspector. ^ Ft7ter Pack (from <br /> P ��14AAC Bentonite )— I—*-� —(oo) <br /> Grout (from) <br /> Permit No. Cfrom)_�_(to)�_ <br /> Augerrig type <br /> Auger O D. I.D. <br /> Drilling Company ►�q� q b <br /> Completion,- Stov— e�tie bo�— <br /> Ccucle one) <br /> Driller._ <br /> Consultant —, _ casing <br /> 4� height <br /> Geologist_ �� \ <br /> ABCVE-GAC(JND �I <br /> SPECIAL PERMIT INFO. CCk'L`TXDN G- *7y.3ox ' <br /> '�-- Ground Sulacy �(Ei7CN <br /> Distance to sewer Jinn <br /> Domestic well on site - <br /> If yes, ]ocacion /n) prcet <br /> istance - <br /> to, <br /> rt. <br /> 3. h. <br /> S= <br /> Holding Temperatureslorad <br /> Method CCr"I`'` saeicn _ $ <br /> screening Method _ �vW <br /> Tracking Sheet - y/ri <br /> SPOILS <br /> Z it. <br /> Storage !Method ti <br /> Contamination Noted - v�u~ <br /> Storage Location n) MATERIAL--/DEVELOPMENT <br /> Casing typeZ ' ✓e <br /> GR_��G Slot Blank <br /> !I 2 0 Screen�fr <br /> Depth to water Bags cementBuckets bentonite <br /> Mix Ratios <br /> thod Begs s gravauk type/l <br /> Installation MeFilter Pack typesize <br /> Quanti 3 <br /> ty Installed Surge Block: - <br /> EH 29 29 <br /> Discussed With(geologist: _ C y n <br /> Type of method <br /> f <br />