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MONITORING WELL INSTALLATION REPORT <br /> Date• �•'� 90 <br /> � CONSTRUCTION <br /> Premise Address: .5-61 A-10W444y lit-4�l,• Well No. U)- <br /> Inspector: G'. �v.� otal Depth ` <br /> creep Length S� <br /> ilter Pack <br /> entonite Pellets Z <br /> Permit No. rout <br /> Consultant �nser�c_ C'a ,� ompletion-Stove pipe hristie box <br /> Geologist, 22l4,a.r34d <br /> uger 0.D. "' <br /> ]Luger I.D. <br /> SAMPLING <br /> Holding Temperature ^lIa Stick-up <br /> Method s <br /> Screening Method i. L._!I. _ <br /> VE-GROUND 57 <br /> Tracking Sheet (y COMPLETION CHRIVY-BOX <br /> Y-BCOMPLETION <br /> SPOILS G=nd SLOacs <br /> Storage Method S t a'o� y� <br /> Contamination Noted ., yes)no • <br /> Storage Location 04 S-1)141- <br /> SPECIAL <br /> '.1 -SPECIAL PERMIT INFO. c <br /> e <br /> Distance to sewer line 7 X01 <br /> action � <br /> Domestic well on site - yes no � . <br /> If <br /> _yes, location & distance - <br /> �t <br /> GROUTING <br /> TERIALS USED: <br /> Depth to water �3 . , axing type PYC SCS S/Q .,?" <br /> Mix Ratios—r d 31ank s�-` ft. Screen Z.S- ft. <br /> Installation Method �✓Gc�.,s,.rJ lot size O. Ozo <br /> Quantity Installed 3ago cement_ ? ._ <br /> uckets bentonite <br /> ags 90gravel__ <br /> _ ilter Pack type/siz �.t_jdl�.3 <br /> t� <br />