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41ONITORING WELL INSTALLATION REPOnT <br /> 67— <br /> Date: 11-1-5, 6 7// p ppGGu. �cS+y CONSTRUCTION <br /> Premise Address: Pp 6Q Total Depth <br /> �i /aa�"U Screen Length (from)— —(to) <br /> Well No.: Filter Pack (from) !20 (to) .6 <br /> Bentonite (from) (to) <br /> Inspector: / Grout (from) (to) O <br /> SL J`fS p Drilling rig type 6*� <br /> Permit No. Auger O.D. I.D. <br /> Drilling Company: <br /> Completion - Stove pipe/christie box (circle one) <br /> �— <br /> Driller: � G_ -! A:e <br /> �tTT� casing <br /> L height <br /> Consultant <br /> Geologist__ / <br /> ABOVE-GROUND <br /> COMPLETION CHAtm-Bo% <br /> SPECIAL PERMIT INFO. G=nd SurfaceCOMPLETION <br /> r <br /> Distance to sewer line grout <br /> Domestic well on site - ( yn <br /> If yes, location and distance ft. <br /> J ITLft. ft. <br /> — a <br /> = m <br /> — n <br /> = m <br /> r <br /> SAMPLING = <br /> Slotted = � c <br /> Sacton <br /> Holding TemperatureA — <br /> Method = gravel pack <br /> Screening Method = <br /> Tracking Sheet - (y/n ) <br /> 60 tt <br /> SPOILS / <br /> Storage Method 4 MATERIALS/DEVELOPMENT <br /> Contamination No d - (y n <br /> Storage Locatio i1d a v�e <br /> Casing type � <br /> Blank fr. Screen g, <br /> GROUTING Slot size v <br /> Bags cement T 1 a <br /> Depth to water " ?i Buckets bentoni e / Q'yt, off— <br /> Mix Ratios � Bags sand/gravel35o <br /> �/� •7 Filter Pack type/size Til <br /> Installation Method Lt.S.�t Surge Block: - (y�—� <br /> Quantity Installed ( Discussed with geologist: - (y <br /> EH 29 29 Type of method <br />