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MONITORING WELL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address: /U U /V ZROW11 Total Depth <br /> /�S 3 Screen Length (from)L_41-Y,9 (to) <br /> Well No.: Filter Pack (from) NZ (to) <br /> Bentonite' (from) 3$-N (to) <br /> Inspector: Grout (from) 0-'349 (to) <br /> Drilling rig type K16"Permit No. � Auger O.D. <br /> Completion-Stove pi Christie box (circle one) <br /> Drilling Company: A W <br /> Driller., 84 t(i� casing <br /> height <br /> Consultant /}C-k jHT <br /> Geologist �N off— <br /> IFL <br /> ABOVE-GROUND CHAISTY80X <br /> CONPL ETION COMPLEiiON <br /> SPECIAL PERMIT INFO. Ground Sumac# <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) 38 h• <br /> If yes, location and distance - ft <br /> q3 n. <br /> = e ' <br /> e <br /> e <br /> $l = C <br /> SAMPLING = c <br /> slow r — <br /> txaen <br /> Holding Temperature <br /> a — $ <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/n) <br /> n. n. <br /> SPOILS <br /> 4 . <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) ,. <br /> Storage Location Casing type Z lope <br /> Blank N3' ft. Screen .T ft. <br /> Slot size 0010 <br /> GROUTING Bags cement 7 Cp4 <br /> 3v. Buckets bentonite / <br /> Depth to water Bags sand/gravel Q V u.so <br /> Mix Ratios_ Ll OAA s /Nam Filter Pack type/size <br /> Installation Method nr< <br /> Quantity Installed �j aCu,r+5 Discussed with geologist: - (y/* <br /> EH 29 29 Type of method ^> <br /> r � <br />