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MONITORING WEIJ,INSTALLATION REPORT <br /> Date: <br /> CONSTRUCTION <br /> Premise Address: <br /> Total Depth <br /> Well No.: Screen Length (from)' (to) <br /> Filter Pack (from) (to) <br /> Inspector: Bentonite' (from) (to) <br /> Grout (from)- (to) <br /> Permit No. Drilling rig type <br /> Auger O.D. I.D. <br /> Drilling Company: Completion-Stove pipe/christie biox (crcle oe) <br /> Driller: <br /> casing <br /> Consultant height <br /> Geologist <br /> ABOVE-Gsoum <br /> COWFLETION CHRO-Y-BOX <br /> SPECIAL PERMIT INFO. COMPLETION <br /> Ground Surface <br /> Distance to sewer line <br /> Domestic well on site - (y/r) grout <br /> If yes, location and distance - <br /> R. ft. <br /> SAMPLING <br /> clotteda — c <br /> Holding Temperature sec�on <br /> Method _ Slnvel Pack <br /> Screening Method a — <br /> ..:. <br /> Tracking Sheet - (y/n) <br /> SPOILS TM <br /> Storage Method M.STERIALS/DEVELOPMENT <br /> Contamination Noted - (Y/n) <br /> Storage Location <br /> Casing type <br /> Blank ft. Screen ft, <br /> GROUTING Slot size <br /> Bags cement <br /> Depth to water Buckets bentonite <br /> Mix Ratios Bags sand/gravel <br /> Installation Method Filter Pack typesize <br /> i <br /> QuantityInstalld- -- <br /> e <br /> Discussed with geologist: - (y/n) <br /> EH 29 29 Type of method <br />