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MONITORING WELL INSTALLATIONIRT <br /> Date: Ql10I73 CONSTRUCTION <br /> Premise Address: \7e.ln 1AG N- tY . / CA 61+1 L, Q ' Total Depth t <br /> Screen Length (from)1 (ck--1L (to) 44-S4 <br /> Well No.: M_W130 Filter Pack (from) u-k: (to) 4 2 - S 7 <br /> Bentonite' (from) 5-) 6' to)_3_2_14 t.. <br /> Inspector: jca�AVWI✓l 7 Grout (from) 1 (to) <br /> Drilling rig type Cov%i L <br /> Permit No. &&,J S 781-3 Auger O.D. I.D. <br /> q Completion-Stove pipe/christie box (circle one) <br /> Drilling Company: C Cu GI e <br /> Driller: ✓`n casing <br /> height <br /> Consultant p -r <br /> Geologist <br /> ABOVE-GROUND CHRIM43,0X <br /> CONPLE'noN COMPLEn'ON <br /> SPECIAL PERMIT INFO. G=r)d 5Lrf20' T , <br /> Distance to sewer line Qrart <br /> Domestic well on site - (y/n) 'P �. <br /> If yes, location and distance- 4 g ft yy �yZ ft. <br /> m <br /> SAMPLING. <br /> sac5an - —_ <br /> Holding Temperature = VIVS4 Pack <br /> Method <br /> L Screening Method <br /> Tracking Sheet - (y/n7B <br /> SPOILS <br /> Storage Method V,,j -0 `'A I J L Uvv` MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> � �`"A <br /> CCasing ypg �L CIt) P�L� <br /> Storage Location •) adja Blank Screen t- <br /> o fr. <br /> . Sy �k thj t- <br /> Slot size 0 0 1 <br /> GROUTING Bags cement <br /> Buckets bentonite 2 <br /> Depth to waterZcY Bags sand/gravel <br /> Mix Ratios Filter Packt3p size i 2 <br /> Installation Method _.. SPrge_Block:_(.y-/_ <br /> Quantity Installed Discussed with geologist: - (y/ <br /> Type of method <br /> EH 29 29 <br />