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,P )NITORING WELL INSTALLATION REPO,,,, <br /> Date: P I20 9 2- CONSTRUCTION <br /> Premise Address: J-51-70 Total Depth <br /> Screen Length (from) ';:2_0 (to) / <br /> Well No.: Filter Pack (from) -so (to) /.'?.S <br /> Bentonite (from) /;2.t5 (to) <br /> Inspector: Grout (from) V- 16 (to) e-- <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. f" <br /> Completion - tove pip clu'istie box (circle one) <br /> Drilling Company: c�$Z� (�1U.-,LtJG <br /> Driller: casing <br /> M7=6Theight <br /> _EWT <br /> Consultant <br /> Geologists -- <br /> A80VE-GRCUND CNAIST`f-8OX <br /> COAFLETION COMPLEnCN <br /> SPECIAL PERMIT INFO. Ground Sumacs <br /> Distance to sewer line VZ gout <br /> Domestic well on site - (y/ n ) <br /> ft. <br /> If yes, location and distance - <br /> • it. ft- <br /> SAMPLING sloroi = <br /> aecicn <br /> Holding TemperaturePack <br /> 4 �G <br /> Method LaU l GCT- gnvw <br /> Screening Method D V t-1 r. <br /> Tracking Sheet - & n ) _ <br /> ft. = ft. <br /> SPOILS <br /> Storage Method K✓ t�'j MATERIALS/DEVEI.OPMENT <br /> Contamination Noted - (©/ n ) <br /> Storage Location O f4 -SI11"- Casing type 40 L <br /> Blank ft. Screen 5' ft. <br /> Slot size <br /> GROUTING Bags cement 1 <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size /te <br /> Installation Method x rn c_ Surge Block: - (69/ n ) <br /> Quantity Installed Discussed with geologist: ( <br /> Type of method (�l� <br /> EH 29 29 <br /> ��`7 <br />