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• GAGE_LOF_,Zy <br /> MONITORING WELL INSTALLATION REPORT <br /> Date:_ �G/fidO CONSTRUCTION �y <br /> Premise Address: / G Well No. <br /> Inspector• f- � <br /> Total Depth `7CJ <br /> Screen Length 70 <br /> Filter Pack 7/�2- . 7 <br /> Bentonite Pellets 2 Sr 7- r/ 7 Z. <br /> Permit No. 2 7 Grout <br /> Consultant_ Completion-stove pi /christie bo <br /> Geologist %roc/n/ ��—.— <br /> Auger O.D. <br /> SAMPLINAuger I.D. <br /> G ..._. <br /> Holding Temperature skki+P <br /> Method <br /> Screening Method <br /> ABOVE-GROUND CHRISTY•BOX <br /> Tracking Sheet (y/n) COMPLETION COMPLETION <br /> SPOILS <br /> Ormond Surlaca <br /> grout <br /> Storage Method ,`- �/ '— <br /> Contamination Noted - yeatj!& . <br /> Storage Location ft. <br /> Jam_ n. <br /> = a <br /> = m <br /> a <br /> SPECIAL PERMIT INFO. z <br /> 0 <br /> Distance to sewer line �SG7 slotted <br /> Domestic well on site - yes — soonio <br /> If yes, location & distance - — gravWpack <br /> n. = n. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Casing type /�� `l i <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method Slot size <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />