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OONITORING WELL INSTALLATION REPO <br /> Date: n IvI-16G CONSTRUCTION <br /> Premise Address: /00( (.r/ AFO�� Q�L>t�Q Total Depth tP� <br /> Well No.: 15, p95 LZ Screen Length (from) <br /> -- r Filter Pack (from) (00 (to) 5 3 <br /> Inspector: Bentonite (from) n (to) So <br /> P Grout (from) 50 (to) 9 <br /> ��5� Drilling rig type PiYt�E 5 <br /> Permit No. Auger O.D. g I.D. <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Driller: --/� t casing <br /> T <br /> /K height <br /> Consultant /f"_ <br /> Geologist -Iw/ ° (JOi .��) T <br /> ABOVE-GROUND <br /> COWPLETION CHRZ Y-BOX <br /> tPLEM <br /> SPECIAL PERMIT INFO. Ground gudw <br /> Distance to sewer line 4-:5 C) grout <br /> Domestic well on site - (y n) -O n <br /> If yes, location and distance - <br /> 3 n• <br /> n. <br /> N <br /> - O <br /> SAMPLING <br /> COW <br /> ��� tao7on = <br /> Holding Temperature_'&-I u Oyx cow 1KO-16U <br /> Method = <br /> Screening Method <br /> Tracking Sheet <br /> - Cy/ n ) <br /> — <br /> 5� <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) AT �C <br /> Storage Location na �.o� ,D-tA-O- Casing type 4b <br /> 149 <br /> Blank 5`� ft. Screen 3 ft. <br /> Slot size .o it)" <br /> GROUTING Bagscement O t + 5 <br /> Buckets bentonite V L <br /> Depth to water = _ Bags sand/gravel ' 2 <br /> Mix Ratios �j0 a t y " 1 V Filter Pack type/size !'L <br /> Installation Metho � u Surge Block: - (y Q <br /> Quantity Installed 5t5'5--LS Discussed with geologist: - (y,p <br /> Type of method <br /> EH 29 29 <br />