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MONITORING WELL INSTALLATION RF '.T <br /> Date: - CONSTRUCTION <br /> i <br /> Premise Address: Total Depth 37 <br /> Screen Length (from) 37 (to) 1-7 <br /> Well No.: /�i(� � Filter Pack (from) 37 (to) IQ5 16 <br /> Bentonite (from) 16' (to) 15 <br /> Inspector: Grout (from) (to) <br /> ( Z O��/ Drilling rig type C�1 S <br /> Permit No. ( Auger O.D. I U I.D. $ <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: ,D <br /> Driller: /LGt-�I ca <br /> h;jg <br /> t <br /> gConsultant .�. <br /> Geologist AE&E•GROUND <br /> COMPLETION C 4SISTY-Box <br /> G COMPLETION <br /> Ground Surface <br /> SPECIAL PERMIT INFO. <br /> grout <br /> Distance to sewer line <br /> Domestic we'll on site - ( y ) 15 n• <br /> If yes, location and distance - t ft- <br /> = m <br /> o <br /> c <br /> o <br /> SAMPLING Clotted = c <br /> soc5on � <br /> Holding Tem erature grafi Pack <br /> Method .Q _ Co aSAR - _— <br /> Screening Method P!q _ <br /> Tracking Sheet - (� n ) ��,,��JJ <br /> ~ ft. <br /> SPOILS <br /> Storage Method f MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( //011 <br /> t,1i <br /> Storage Location th..�c .t, Casing type T <br /> Blank 17 ft. Screen 20, ft. <br /> Slot size .D l <br /> GROUTING Bags cement <br /> Buckets bentonite I' <br /> Depth to water Bags sand/gravel g 4 <br /> Mix Ratios `t, -7 Filter Pack type/size ZIZ <br /> Installation Method Surge Block: - n ) <br /> Quantity Installed Discussed with geologist: - ,a/ n ) <br /> Type of method 2� <br /> 4v <br />