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I On <br /> ONITORING WELL INSTALLATION REP <br /> Date: /Z7/07 <br /> ,ZS/O 7 CONSTRUCTION <br /> PremiseAddress: l��U Gc/ ® Total Depth <br /> Well No.: ''�� /� / Screen Length (from) (to) <br /> Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: Grout (from)—(to)— <br /> Drilling <br /> from) (to)Drilling rig type <br /> Permit No. Auger O.D. / I.D. p <br /> C <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Of <br /> �� <br /> Driller: � AA--r casing <br /> !� height <br /> Consultant /,-/` <br /> Geologist_ d UDt �y,c�i, <br /> ABOVE-GROUND <br /> CONFLETION CHMM-SOX <br /> SPECIAL PERMIT INFO. Ground gufyy <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) ft <br /> If yes, location and distance - ft <br /> 65 ft. <br /> — a <br /> = m <br /> = m <br /> — c <br /> SAMPLING = 0 <br /> slottad = � <br /> Holding Temperature _ P <br /> Method — vayiW <br /> ack <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> b ft. <br /> SPOILS 7D <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) Zy �� <br /> Storage Location Casing type <br /> Blank ft. Screen fr. <br /> Slot size yj /I <br /> GROUTING y�ItBagscemen br/D-T <br /> 32, Nd - 45 s,(- Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios f c*j Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed_ Cis+13 U t- O 9 .D Discussed with geologist: - (y/ n) <br /> Type of method <br /> EH 29 29 <br /> n <br />