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1 <br /> '*-mONITORING WELL INSTALLATION REPO,,.,e <br /> Date: 612,0?-O 0 Z CONSTRUCTION <br /> Premise Address: /�yIZb G"j44141LVtJ1-�__ Total Depth r <br /> Screen Length (from) 15 (to) 5 <br /> Well No.: M Gt) - ?.0 Filter Pack (from) 5 (to)�— <br /> Bentonite (from) ¢ (to) <br /> r. eS3' <br /> Inspector. INbLqL� Grout (from) 3 (to) -B- <br /> Drilling rig type 1»t C o <br /> Permit No. 712-2840 Auger O.D. I.D. <br /> Completion -(Stove, pipe uistie box (circle one) <br /> Drilling Company:_ <br /> t <br /> Driller: 3 casing <br /> 1 4 � Theight <br /> _QWT <br /> Consultant fS12-a- S le c..pinJ��I _ <br /> Geologist EuriA f i;?j� <br /> ABOVE-GROUND CHW�JM-8OX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line �6/ grout <br /> Domestic well on site - (y n) _;,ft. <br /> If yes, location and distant - <br /> . ft. <br /> R. <br /> Y' O <br /> 1�: 0 <br /> SAMPLING <br /> saricn <br /> Holding Temperature 9D 34N I LO ,I�I�G <br /> Method �— "' — IMVW Pack <br /> Screening Method <br /> Tracking Sheet - (y/ n ) =_ <br /> .a: <br /> �...r....ft. <br /> SPOILS <br /> Storage Method C3Vl 0jR1bVk_ Cc��(tsR � W' +nls' MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n ) ,, <br /> Storage Location �� rO P4d:��t Casing type 2 5cH 4.6 rill✓ <br /> Blank3 ft. Screen 10 ft. <br /> Slot size b.O 1 O <br /> GROUTING Bags cement -1 <br /> Buckets bentonite <br /> Depth to water g 1 Bags sand/gravel <br /> Mix Ratios /Slat rL p _ Filter Pack type/size 21 I(o <br /> Installation Method Surge Block: - (}V n ) <br /> Quantity Installed l L Discussed with geologist: - (V n) <br /> Type of method. ial t'L61. ) <br /> EH 29 29 <br /> /� Z o z <br />