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rv10NITORING WELL INSTALLATION REPOk tI <br /> Date:�L���U�o _ CONSTRUCTION <br /> Premise Address: /0D6 UX .BCU Total Depth <br /> Screen Length (from) (to)— <br /> Well No.: S Filter Pack (from) (to) <br /> Bentonite (from) (to) Z <br /> Inspector: Grout (from) 5772— (to) <br /> //G c Drilling rig type <br /> Permit No. �� r d �/j Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: G <br /> 1 <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologist Aezf'c'lsa�, 'f�_ V T <br /> ABOVE-GAOUNO CHAISTY 80X <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sauce <br /> Distance to sewer line 4L56 grout i <br /> Domestic well on site - (y0 Jr�/ <br /> ft. <br /> If yes, location and distance - s Z <br /> c <br /> — x o <br /> SAMPLING slotted <br /> oD,,// wcion z <br /> Holding Temperature ip� ' •f 4!>te/Le Aaa-66 <br /> Method =_ P <br /> Screening Method <:` <br /> EE d <br /> Tracking Sheet - (y/ n ) __ <br /> SPOILS <br /> Storage Method d3L f uc� /.figMATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) T n L <br /> Storage Location Casing type <br /> Blank ft. screen h. <br /> Slot size . Ole) <br /> GROUTING Bags cement /t -t <br /> Buckets bentonite ; ?�-t <br /> ac� <br /> Depth to water Bags sand/gravel / s <br /> Mix Ratios A0 �7f c 3!/ Filter Pack type/size <br /> Installation MeSurge Block: - (y n <br /> Quantity Installed �S� fs t ZO Discussed with geo gist: - (y n ) <br /> Type of method <br /> EH 29 29 / <br /> 1Z 16 6 ,r- <br />