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-)NITORING WELL INSTALLATION REPC <br /> Date: 5-'Z 9 CONSTRUCTION <br /> ��f r <br /> Premise Address:--:.& �, c�� Total Depth oW� S <br /> Screen Length (from) (to) 5 <br /> Well No.: 3 Filter Pack (from) (to) 3 <br /> Bentonite (from) 71' (to) 37 , <br /> Inspector: Grout (from) 3 7' (to) Q <br /> �Z�IiGC.4Y Drilling rig ty�e — 5 <br /> Permit No. Auger O.D.7 I.D. <br /> �aany: <br /> ��£ s <br /> Il Completion - Stove pipe Christie box (circle one) <br /> Drilling Comp <br /> Driller: E✓/!�/ ���/¢ l/(��L (1�5 casing <br /> C I height <br /> Consultant `SSB /� <br /> Geolo ist <br /> g /� _ ABOVE-GROUND <br /> GlBulrl COMPLETION COMPLETION <br /> `-'��1`��_ COMPLETION <br /> SPECI PERMIT INFO. 1e Ground Surface <br /> SO " grout <br /> Distance to sewer line I <br /> Domestic well on site - ( y/ n • 3 7 ft. <br /> If yes, location and distance - S 3 9 ft. <br /> �ff. <br /> O <br /> C <br /> O <br /> SAMPLING sl°ned = ` <br /> socton <br /> Holding Temperature gni Pack <br /> MethodQ �-�- <br /> Screening Method P ID <br /> Tracking Sheet - n ) 75 <br /> ft. ft. <br /> SPOILS - v � <br /> Storage Method SS MATERIALS/DEVELOPMENT <br /> Contamination Noted - (D n ) Z „ <br /> Storage Location Casing type 7 <br /> Blank 3 5 ft. Screen 3 o ft. <br /> Slot size -02— <br /> GROUTING <br /> O2_GROUTING Bags cement G (taco Z _ ,7 v <br /> Buckets bentonite 2- <br /> Depth <br /> Depth to water NBags sand/gravel <br /> Mix Ratios ''/z ..x.30 ty Filter Pack type/size LS 2 rL <br /> Installation Method Surge Block: - ( y/Cn)) <br /> Quantity Installed eTLd f+x..� If <br /> S��a 3ybt .ryas Discussed with geologist: - E.% n ) <br /> Type of method <br /> � - R <br />