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TviONITORING WELL INSTALLATION REPOn•1 <br /> Date: 11-i�-v6 s� CONSTRUCTION <br /> Premise Address: /000 Total Depth ln/ <br /> v/ Screen Length (from) &0.5 (to) S S <br /> Well No.: Filter Pack (from) /of (to) Slam. <br /> Bentonite (from) _�(to) SSL <br /> Inspector: ek 1,14 Grout (from) 5`4 (to) U <br /> per- Drilling rig type C4"-C---5 t� <br /> Permit No. �O b 73 Auger O.D. I.D. T <br /> Q '77.r� Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: /�.�t__ <br /> Driller: .1�, casing <br /> GMK Consultant height <br /> Consultant 4// -- <br /> Geologist ,���//����"'4 ��_ ._ <br /> ABOVE-GROUND ��,� <br /> COMPLETION ON <br /> SPECIAL PERMIT INFO. Grourd S <br /> lj U <br /> Distance to sewer line grout <br /> Domestic well on site - (y,�"n 1 7T tt• <br /> If yes, location and distanc 56 ft. <br /> F <br /> 0 <br /> C <br /> SAMPLING gloried = Z <br /> tecdon <br /> Holding Temperaftu�e '� Of / � _ gravel pads <br /> Method Ccc P 0 —S� <br /> Screening Method JrIP <br /> Tracking Sheet (y n ) <br /> SPOILS 1 <br /> Storage Method O-)�- LIQ ecu x'09 MATERIALS/DEVELOPMENT <br /> Contamination Nott- n 2 . Pyr <br /> Storage Location /" /�. `o Casing type <br /> Blank 57.5 ft. Screen <br /> Slot size <br /> GROUTING Bags cement O ' <br /> Buckets bentonite <br /> Depth to water r 33f Bags sand/gravel <br /> Mix Ratios 16W 3 ' fi 4 Filter Pack type/size 2 <br /> Installation Metho `�ws«�-gTT Surge Block: - (y/ n <br /> Quantity Installed Discussed with geologist: - ( YO <br /> n <br /> Type of method <br /> EH 29 29 <br /> ) /7 <br /> �i�1 /�/7-v/ 1 551 ✓ <br />