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MONITORING WELL INSTALLATION REPohI <br /> Date: //" ZT O 6 CONSTRUCTION/_ <br /> Premise Address: Ito()W /�ry/� Total Depth ! 11 <br /> l! Screen Length (from) (to) <br /> Well No.: 'y Filter Pack (from) 6 J (to <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig typecoze:- 5r <br /> Permit NoAuger O.D. T I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: � � 1 casing <br /> �� height <br /> Consultant // / _ � � /� T <br /> Geologist b /"SK�s - T <br /> ABOVE-GROUND <br /> ( CHMM 80X <br /> COMPLETION COMP <br /> SPECIAL PERMIT INFO. Ground S'"Ce <br /> Distance to sewer line < grout <br /> Domestic well on site - ( y n ) <br /> If yes, location and distance - ft. <br /> Ott. ft. <br /> = m <br /> — o <br /> = m <br /> r <br /> SAMPLING sloped —_ 8 <br /> / tecton <br /> Holding Temperature bS <br /> Method = <br /> gmys,Pack <br /> Screening Method = s; <br /> Tracking Sheet - (y/ n ) 6 <br /> SPOILS �/ / - G5 <br /> Storage Method i A f Z,i*L�'ll/L�'yI MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y Z Ile <br /> Storage Location Casing type <br /> Blank 6V 0 ft. Screen3 _ft. <br /> Slot size - 0/01/ <br /> GROUTING Bags cement /D r i0 t : 1.36 <br /> Buckets bentonite ogmAQ <br /> Depth to water Q,//�� Bags sand/gravel t <br /> Mix Ratios /D j'w,�[ // 7M74--o Filter Pack type/size /L <br /> Installation Method a±yo Surge Block: - (y n <br /> Quantity Installed SSS t Discussed with geologist: - (ye!�) <br /> Type of method <br /> EH 29 29 <br />