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NwONITORING WELL INSTALLATION REPO, <br /> Date: B�Zo ��Z CONSTRUCTION <br /> Premise Address: 131-7 O 671 Total Depth <br /> Screen Length (from) /o (to) .`" <br /> Well No.: M ti -23 Filter Pack (from) /0 " (to) ¢ ' <br /> Bentonite (from) 4- (to) 3 ' <br /> Inspector. Grout (from) 3 (to) <br /> Drilling rig type + <br /> Permit No. q 2 2 � Auger O.D. C1. I.D. <br /> Completion - toe pip /christie box (circle one) <br /> Drilling Company: Lk54 P. <br /> t <br /> Driller: casing <br /> height <br /> Consultant F�1 I�A�1FSOl, 1�1 <br /> Geologist ' Lr&nG <br /> ABOVS-GROUND CNRISTY-aoX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surfacs <br /> grout <br /> Distance to sewer line X50 <br /> Domestic well on site - (y/ n) <br /> If yes, location and distance - ft. <br /> v' o <br /> SAMPLING sloroi <br /> socJcn -' <br /> Holding Temperature 0 <br /> Method : _ pack <br /> Screening Method —_ <br /> Tracking Sheet - (y/ n ) -' <br /> •.x <br /> ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location 0III -StTCJ� Casing type :2" Gr-A 40 O�C__ <br /> Blank 8 ft. Screen 5 ft. <br /> Slot size O. O/ O <br /> GROUTING Bags cement L <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size t' <br /> Installation Method - Surge Block: - (o n ) <br /> Quantity Installed Discussed with geolAAgist: - n ) <br /> Type of method gtc� <br /> EH 29 29 <br /> ��3 g1iu)lpz <br />