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FROM :LINCOLN CENTER TS • FAX NO. :2099551391 D*2 2006 01:09RM P2 <br /> (40NITORIIVG war INSTALLAT[oN REP&, - <br /> Date: l�{1 /d` CONSTRUCTION/� <br /> Premise Address-Ll-EA1 Cvw�r - Total Depth C� L,r`-1S <br /> Screen Length(from) <br /> Weft No.: �"'� Filter Pack <br /> Bentonite (from) <br /> Inspector: Grout (from) ,z ' (to) 7 <br /> Drilling rig type <br /> Permit No. -- Auger OD._ G2. . I.D. <br /> Lf <br /> ` Completion--Stove pipe/christie box (circle one) <br /> Drilling Company: *Yl,Mrr1�t . <br /> Driller:- .'6� VwK casing <br /> J rt height <br /> Consultant— <br /> Geologist <br /> onsultantGeologist <br /> ASOVE-GROUND <br /> COAPLETION CHMM410X <br /> SPECIAL PERMIT INFO. Otero S Wyy COMPLETION <br /> � . <br /> Distance to sewer line ow <br /> Domestic wen on site-(y/n) <br /> If yes,location and distance- h• <br /> tob R <br /> SAMPLING ':' <br /> -Holding Temperature *swan <br /> Method = +: FsvtlPadt <br /> Screening Method <br /> Tracking Sheet -(y/n) <br /> 6 ft s IL <br /> SPOILS <br /> Storage Method <br /> Contamination Noted-(y/n) MATERIALS ALO ppMI6Mf <br /> Storage Lavation Caging type vc <br /> Blank - fr. Screeq 2 h. <br /> Slotsiae_ .CID <br /> GROUTING Bags cement <br /> Buckets bentonite .. <br /> Depth Water Bags sand/gmvel <br /> Mix Ratios <br /> Installation Method Filter Pack (ytype/size <br /> Surge Block: <br /> -•(y/n) <br /> Quantity Installed Discussed with geologist:- (y/n) <br /> EH 29 29 Type of method <br /> �y�� M 3 3 <br />