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MONITORING WELL INSTIUATION REPORT <br /> Date: --I l zy 4� . -- -- - CONSTRUCITON <br /> t <br /> - Premise Address: Total Depth Za <br /> - ' Screen'Length (from) (to)___;Lc <br /> Well No.: Lo't )-Z- _ Filter Pack {from) (to) _�__ <br /> - Bentonite " (from) .S �(to) u.` <br /> Inspector*. Grout (from). _Q-- (to) <br /> Dulling rig type , <br /> Permit No. U ( 01 Auger O.D. I.D. <br /> Completion-Stove pipqc&istie bozo (circle one) <br /> Drilling Company._0 k L,J 1'�)nA Lt A/1- <br /> Driller: (_� Jc_ cas_-9 <br /> heign_ <br /> T Consultant ►M n (Sdj avv, _ T 7 +r <br /> Geologist O ,4,riA/ V <br /> .a r <br /> C�`.ErP�R'i0l�! CF�Fi1.�f-�C'7C ' <br /> SPECIAL PULNUT INFO. - CV=Ajd'sufaca <br /> Distance to sewer line sncut <br /> Domestic well on site - (y/ n ) 3•S <br /> If yes, location and distance - � <br /> _= <br /> SAMPLING - zWnod ::. __ <br /> Holding Temperature _ .� _ gMW'W Pack <br /> Method r <br /> Screening Method <br /> -Tracking Sheet n ) <br /> Z UL j <br /> :i, = , <br /> 4 <br /> SPOILS <br /> t . <br /> i Storage Method_ rrv, <br /> MATERIAIS/DEVELOPMENT - <br /> Contamination Noted ( / <br /> Storage Location_ f - Casing type <br /> 4 <br /> ft. Screen <br /> t Slot size A 2C7 <br /> GROUTING. Bags cement I _ <br /> Buckets bentonite 3 err <br /> Depth to water Bags sand/gravel 5 <br /> Mix Ratios Filter Pack type/size� k srA_ <br /> Installation Meth d �,. � �- _ Surge Block- - 0/ n) <br /> Quantity Installed , Discussed with geologist: - (y/ n) . - <br /> Type of method a <br />