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T <br /> MONITORING WELL INSTALLATION REPORT <br /> Dates _L Q� ONSTRUCTION <br /> Premise Address: -5-al prell No. b <br /> Inspector. Total Depth <br /> Green Length y.:r r <br /> filter Pack - -5-X: 4 <br /> entonite Pellets $�-G' <br /> Permit No. crout = ' <br /> ConsultantCompletion-Stove pipe hristie box <br /> Geologist <br /> Auger O.A. /O <br /> Auger I.D. <br /> SAMPLING _. <br /> Holding Temperature e G arid*-up <br /> Method 2 L. <br /> T7 T <br /> Screening Method © Vni1 <br /> VE-GRO(JND CHRISTY•BOX <br /> Tracking Sheet Un) DOMPLETION COMPLETION <br /> [hound Sudwe <br /> SPOILS <br /> grout <br /> Storage Method s `' • <br /> Contamination Noted -a'no <br /> Storage Location, o-n n• <br /> /0.ft. <br /> m <br /> b <br /> SPECIAL PERMIT INFO. <br /> / 0 <br /> Distance to sewer line AF 14 <br /> section <br /> Domestic well on site - yes/no <br /> gravW pack <br /> If yea, location a distance - <br /> 5� ft. ft. <br /> GROUTING <br /> / TERIALS USED: <br /> +SIA r VC SCF,/ _ y_ <br /> Depth to water axing type �„ _ <br /> Mix Ratios / 6j4 e&W4Vzg 3 ;B� 31ank /O ft. Screen ys ft. <br /> Installation Method 3lot size, <br /> Quantity Installed 3age cement <br /> uckets bentonite Z- <br /> ags ar /gravel z d <br /> Filter Pack,type/size tAAL <br />