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`4ONITORING WELL INSTALLATION REPO`^ <br /> Date: 3 I l$ 5 `1 CONSTRUCTION <br /> Premise Address: 1'601 Total Depth <br /> Screen Length (from) ; S' (to) S-Cl <br /> Well No.: YV\W-Z Filter Pack (from) i 3 ' (to) As- <br /> Bentonite <br /> SBentonite (from) o ' (to) ;3 <br /> Inspector: Grout (from) (to) n <br /> Drilling rig type <br /> Permit No. Auger O.D. 10 ' I.D. " <br /> [&)L,+ Completion - Stove pipe stie box ircle one) <br /> Drilling Company. <br /> Driller: (L\ �. casing <br /> height <br /> Consultant T/k\T <br /> VZ'r-- —Q <br /> Geologist (:IT <br /> ABOVE-GROUND CNAISiY-BOX <br /> COMPL�bN COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlan <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ nft <br /> If yes, location and distance - 3 <br /> ft. <br /> _ . <br /> — o <br /> SAMPLING slotted _ E <br /> socton <br /> Holding Temperature - _ gm„W Da� <br /> Method ( ' (n C- r 1.,-UA <br /> Screening Method 9 k 0 <br /> Tracking Sheet - ( y/ n ) _ <br /> i9 <br /> SPOILS <br /> Storage Method S S y&-Q Ot^kA MATERIALS/DEVELOPMENT <br /> Contamination Noted - QV n ) <br /> Storage Location Casing type CW-- <br /> Blank 3 S ft. Screen �- ft. <br /> Slot size . h z O <br /> GROUTING Bags cement <br /> Buckets bentonite 2- - Gen <br /> Depth to water S I Bags sand/gravel 1 O• S- I oO (� <br /> Mix Ratio - Filter Pack type/size- k 3 (2�iKC Un 0 <br /> Installation Metho ne A. oeR 63 A,10 3o'lc�� Surge Block: - & n ) <br /> Quantity Installed Discussed with geologist: - (T/ n ) <br /> Type of method <br /> EH 29 29 <br />