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MONITORING WELL INSTALLAT104OR-T <br /> Date: /^7��&13 CONSTRUCTION <br /> Premise Address: Y 4ti � N ��� Total Depth -7b <br /> Screen Length (from)'fal 73 Cto) 3q-of s1 <br /> Well No.: �1 U Filtet Pack (from) t - - �o Cto) 3-1 -S Z <br /> G/ cyn�+-�.Bentonite• ((rom) Sb'- tot (to) <br /> Inspector: �• /��}7�'iN'l S2-sk13�-3� 'rout Cfrom) )L Cto) 3� <br /> Dulling rig type c�,^i <br /> Permit No. Auger O.D. I.D. <br /> Completion-Stove pipe/christie box (circle one) <br /> Drilling Company: (c+s E <br /> �1NvA 1 c`��u✓I casing <br /> Driller: height <br /> Consultant Cit-#"A <br /> T 1 11 <br /> Geologist- ,`e__ �inSS2l� ABOVE-GROUND <br /> COMPLETION COMPLETION COMPLETIONN <br /> SPECIAL PERMIT INFO. Grourd Surface <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/n) <br /> If yes, location and distance- X03 3�fl ft. <br /> SAMPLING slotted - <br /> u:_ g <br /> wc9on <br /> Holding Temperature DD-I•• 0 _ GrsvelPads <br /> Method 3 I <br /> Screening Method FE. — <br /> Tracking Sheet - (y/n) <br /> SPOILS <br /> Storage Method MATERIAWI)M ELOPMENT <br /> Contamination Noted- (y/n) <br /> Storage Location Casing type <br /> Blank ft. Screen I �) ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite 3 H 51,a c?s <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack typesize <br /> Installation Method <br /> Quantity Installed Discussed with geologist: - Cy/ n ) <br /> Type of method <br /> EH 29 29 <br />