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WONITORING WELL INSTALLATION RAT <br /> Date: 7�" `r CONSTRUCTION <br /> Premise Address: 4�1 PQetRc Total Depth �2 <br /> Well No.: $'�� f Mw Filter Pack (from) -4Z (to)(to) Gt5 <br /> n <br /> It' 5' <br /> Inspector. Wa J 5 Grout (from) <br /> (from) 50 (to) 4 T) <br /> 2, 2-- P3 Drilling rig type o <br /> Permit No. I(� O Auger O.D. _ <br /> I O Completion - Stove pipe/ 'sne b circle one) <br /> Drilling Company: We <br /> 'To✓1� �avt'lVvilll0 �'t �F.f� <br /> Driller: AeLt-K D��ottcreq casing <br /> t��SYv� �� <br /> Consultant height <br /> -Z- <br /> Geologist TD✓\A LjHe' -fin 1! T <br /> A80VE13fl ND CH15T-Box <br /> COMPLETION <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground <br /> r� Suf <br /> is <br /> Distance to sewer line <br /> / <br /> \ 5D` 5pecta proal <br /> Domestic well on site - (y/gU -4-+.S ft, <br /> If yes, location and distance - ft. <br /> 52n, <br /> x <br /> dM <br /> SAMPLING dorsad <br /> ^ C&t— sarisn <br /> Holding Temperature C tGULct <br /> Method —1rl FJP lCP CUc S l� _ �' <br /> Screening Method b ' <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method ���� MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y �� C <br /> Storage Location r& t-5 t Casing type /eft <br /> Blank 8 ft. Screen 2-0 ' ft. <br /> Slot size . OI 0 <br /> GROUTING Bags cement <br /> Buckets bentoniteD <br /> Depth to water 5� ' Bags sand/gravel b4 <br /> Mix Ratios Filter Pack type/size L G - vLrL- <br /> Installation Method -rRV639Vi Surge Block: - (y n <br /> Quantity Installed --� Discussed with geologist: - (on ) <br /> EH 29 29 �sjZ WAk'r <br /> Type of method <br /> � b D5 5 lar5s testi a�(( <br /> loo Osed 6 ro.r} er l 13 J <br />