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MONITORING WELL INSTALLATION REPO <br /> Date: _ C1 . I �-14 <br /> Il A- CONSTRUCTION <br /> 14 <br /> Premise Address: C)I I A(_ "a t/ Total Depth 2 � <br /> ��pp I Screen Length (from) 7—C; (to) 5 <br /> 1W <br /> Well No.: ' Filter Pack (from) 2C. <br /> BentoInspector. __�"lL Grout (from) <br /> (from) G (to) 2 . <br /> (from) 2.S t <br /> (to) <br /> ��7 '77(�-1 ff Drilling rig type <br /> Permit No. 1 /ILYe� Auger O.D. A II.D. <br /> DrillingC �� 'U�,^J� Completion - Stove pip tristie box circle one) <br /> -ocmpany: �y, le��u,I, I <br /> Driller:_ 1�Q,� Y' casing <br /> 41 _qVT <br /> M height <br /> Consultant ttlQ l l kC LU�� 4 <br /> pp GeologistV�(n T�oo4 _ <br /> /1BOVE-GRCUND <br /> CONFLETION CHRIM-BOX <br /> cOMP nclsl <br /> SPECIAL PERMIT INFO. Ground gL�xfxy <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - ft. <br /> ft. <br /> ^I = o <br /> SAMPLING No SOII cSIaYYI = ` <br /> soricn <br /> Holding Temperature For 5 <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/ n ) — <br /> 25 f. <br /> ft• ft. <br /> SPOILS , <br /> Storage Method NY X �v ft PILQ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) n 2 It PVC <br /> Storage Location v Casing type <br /> Blank ze ft. Screen ft. <br /> Slot <br /> S size D <br /> GROUTING Bags cement <br /> Buckets bentonite bxktt <br /> Depth to water 1�.� _ Bags sand/gravel ( <br /> Mix Ratios 52C, WDW Filter Pack type/ •ze__ 0 <br /> Installation Method Surge Block: - y nn) <br /> Quantity Installed G. Discussed with eologisGc ,-�( y/ n ) <br /> EH 29 29 ag2 � �x Type of method 2a JAPID <br /> Web Inthall C�?l�ec� rc51 <br /> b©0 19 �n�' vhc�,l� nt rl <br /> 1_d5 9C& <br />