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AF Il <br /> .: NITORING WELL INSTALLATION REPOIJ <br /> I <br /> n _ i, J _ f <br /> C <br /> Date: CONSTRUCTION <br /> Premise Address: Total Depth <br /> " <br /> ff Screen Length (from) (to) <br /> Well No.:_F�J � :, -_ Filter Pack t (from) (to)�� <br /> Bentonite (from) (to) <br /> Inspector: Grout Ih (fro (t�A <br /> Drilling rig-jqme r� <br /> Permit No. Auger O.D.i <br /> f; Completioria-Stove pipe/ kris a boy circle one) <br /> Drilling Company: <br /> Driller: PNQ casing <br /> - Ti height <br /> j Consultant <br /> Geologist �.� <br /> AXFO r-GF1CUND <br /> _ CQMPI.ETfON CHR4309 <br /> COMP Ef1CN <br /> SPECIAL P T INFO I C3=r{d Swfaco <br /> L �1k <br /> Distance to sewe ine Qrout I <br /> j� <br /> Domestic well on #i (y n ij ft, <br /> If yes, location an i nce - tL <br /> SAMPLING j alorvd G <br /> iedcn = <br /> Holding Tem erature �a/AI, ,I <br /> Method <br /> 9M Pack <br /> Screening Method <br /> Tracking Sheet ( n) <br /> SPOILS <br /> �a <br /> Storage Method MAT RIALS/DEVELOPMENT <br /> Contamination Not ( <br /> Storage Location Casing typet <br /> 2D- .. <br /> v rll__— Blank ft. Screen <br /> SIot size 3 <br /> f GROUTING _ Bags"cement <br /> Buckets bentonite ' <br /> Depth to water Bags''sand/gravei <br /> Mix Ratios Filter Pack type/size <br /> Installation Method---_ Surge Block: -' y/ n ) <br /> Quantity Installed Discussed with Oologist: - y n } <br /> Typeof method <br /> EH 29 29 <br />