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...�jNITORING WELL INSTALLATION REPOIy <br /> Date: M on t 20fJ Suripj NG3?0f, CONSTRUCTION <br /> Premise Address: _308 Groai St. Total Depth 120 <br /> Screen Length (from) L20 (to) 1I D ' <br /> Well No.: M W - q Filter Pack (from) I2,7` (to) 1 <br /> Bentonite (from) (to) lcq <br /> Inspector. _yj k e 1Zar+n e.1 Grout (from)/p�(to) su r,r'd <br /> Drilling rig type 4M E 195- <br /> Permit <br /> SPermit No. 00 6-3 f3.3!_ Auger O.D. P;�.p6u I.D. r <br /> Completion - Stove pipV16iHstiebox4circle one) <br /> Drilling Company: L'QSGoi/e I r; )1 i n4 <br /> Driller: Tori SG21/3 ;rar AdrianAnf I casing <br /> Assisted �ich0r Ua acs, thomBsll�tchi I ° height <br /> Consultant_ <br /> _Ad Nn n GE�1eo /1y;ro n m en i`aj���� <br /> Geologist ) L <br /> ABOVE-GRCUND <br /> 1< 1 D COWLETION I,OMPLETICN <br /> SPECIAL PERMIT INFO. e�� �--�� CCirwnd Surlac* <br /> 5 ' <br /> Distance to server line ^'90 -Feta- %s Qr«R <br /> Domestic well on site - ( y/©) a7 , AO <br /> If yes, location and distance - <br /> -?S I -e- <br /> JOB <br /> 36 , J/e <br /> � — <br /> 7$1 15'2 <br /> a1;' t4Y <br /> 45' 140 = <br /> SAMPLING <br /> 3S 11DO dorod = <br /> socicn :*Holding Temperature 4v�� GD' 37 <br /> Method <br /> L 5/ S ynvel pack <br /> i�,> ;» i'nn lv'� �' <br /> Screening Method P1 ll <br /> Tracking Sheet - n ) 71� 0' <br /> 851 e- <br /> SPOILS 9c. '; <br /> 43' s- <br /> /ac' 2.4 <br /> Storage Method bi)t 44T!�'����� - yy1Q�gI COYt )f(ti� S 7.1. MATERIALS/DEVELOPMENT <br /> Contamination Noted - `L'P n ) 35' $v STI bso 11D' ©- <br /> Storage Location ons. //S' — Casing type :2-14n�i <br /> /40' .49' Blank 11d h. Screen /Q ft. <br /> Slot size 0. 020_ irsehes <br /> TI <br /> GROUNG Bags cement_ - P°rymuC <br /> 2 Buckets bentonite `of el -Olin 5D-IL />1� <br /> bvrJ ehs ' eilat, <br /> Depth to water yrT �Ps G� Bags sand/gravel_ 9 G6 1EX 1.o.,i r L°dfrti <br /> Mix Rados 8 4 - ti e, 4tT,2 - Filter Pack type/size 9p.3 <br /> Installation Method erg Surge Block: - ( } n ) <br /> Quantity Installed 3 a 7 /ba IVYie Discussed with geologist: - Q/n ) <br /> 2929 11Seet° 4ba 4a Part-IA ,*.LCernQA-t- Type of method sy ��tit1G <br /> \ g�tatrD✓t- <br />