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� y <br /> MONITORING WELL INSTALLATION REPORT.' <br /> Date: 1 Z OdNSTRUCTION <br /> Premise Addr s JX22�s y 4016� Well No. 13y I <br /> Inspector': dotal Depth <br /> Screen Length A11A. <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. gout <br /> Consultant Completion-stave pipe./:chrstie box <br /> Geologist_ 12 tom <br /> Auger 0 b <br /> Auger <br /> 'Hold'ing emperat a Y.!!��. <br /> Method ..4.rr .xr <br /> Screening Meth.o <br /> 7Y -t3ROUND: "ISTY-Box.: <br /> Tracking:Sheet: n.). COMPLETION COMi'1.ETlON. <br /> Drmund$Ww* <br /> SPtlILS �r..� <br /> OL <br /> Storage Method � ' - <br /> Contamination ioted ms 2&es <br /> S drags Locatesjj <br /> : <br /> SPECIAL PERMIT IN O.. <br /> Distance to sewer Eine � <br /> Domestic well. n site - ;yes/no <br /> If yes, lbcaton & distance <br /> .10 <br /> GROUTING <br /> may}l^� <br /> IN <br /> `MATERIALS: -USED:- <br /> !J <br /> Depth to west r� Casing 'type /U <br /> Mix Ratios Blank A,-IA_ ft. Screen ft. <br /> Installation Methoa slot size <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Sans sandfgravel. <br /> Filter Pack type/size <br /> �� - <br />