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MONITORING WELL INSTALLATION REPORT <br /> Date: <br /> CONSTRUCTION <br /> Premise Address: use��, <br /> Inspector: Well No. <br /> / Total Depth <br /> Screen Length d <br /> Filter Pack - <br /> ! ��� p BentonitePfllets �1 � <br /> Permit No. Grout <br /> Consultant <br /> Completion-Stove pipe/ hristie x <br /> Geologist <br /> Auger O:D . <br /> SAMPLING Auger <br /> Holdingemperature 7� stkk-up <br /> Method // <br /> Screening Method <br /> ABOVE-GROUND CHRISTI!-SOX <br /> Tracking Shee { %n) COMPLETION Surtwe <br /> COMPLEPON <br /> SPOILS <br /> Storage Method - praut <br /> Contamination Noted - yesn ft. <br /> Storage Location G1.1 <br /> (ft. <br /> 19 <br /> SPECIAL PERMIT INFO. <br /> sloriad G <br /> Distance to sewer line kaon -= <br /> Domestic well on site - ye ./no <br /> If yes, location & distance - 4raWPack <br /> nd <br /> GROUTING <br /> Y MATERIALS USED: <br /> Depth to water <br /> Casing type <br /> Mix Ratios Blank ft. Screen ZAP) ft. <br /> Installation Method Slot size 6 t-b <br /> Quantity Installed L/ Y113 Bags cement- <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br />