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E <br /> 4 ­(47 <br /> ONITORING WELL INSTALLATION REPOKI- <br /> a76� I - afa��s,+fTnJbt//e �'liGLr/e{/ _ o <br /> in�4L� S*,/AWOVern�jhl- �$ SUn'n/J,�� aboE) oSa <br /> ��tclydistic �.loe ?/C![ .iZ tcJ401 Ie :;i.nS�.AII '{_H�, S4 �. �� ;�r;)l�vJ i <br /> �VMIV0-,0/ �r t+builfWeC� drop° . � Mfr ie bp <br /> ' Q�J dst 9 10 a0 /U _ CONSTRUCTION 2ho�.fO i.6s / nl.�'aP <br /> Date: Senr�fis.�, <br /> j Premise Address,•""� /Zf7n ri'ch�f-ot" 7� '?��"' Total Depth <br /> ,2S S /✓ y 5/ "/"0 <br /> Bentonite (from) / 35�3 ((o) /ZS / <br /> 3 Screen <br /> Well No.: �1� ' 9 � o-��s� f'e- Filter Pack (from) l 3� (to) /Z 3 <br /> L 8 <br /> Inspector: V J rn�[�t✓7r7� _:Grout .:(from) (1S• (to). 50 r, <br />` Drilling rig type rr ("d rotora <br /> 1 <br /> Permit No. S� D D S q /� .S Aeger O.D. >: I.D. <br /> . <br /> 1 Completion - Stove pip"/christle cle one) f <br /> Drilling Company: 1 e, <br /> Driller: .04r 4 casing <br /> � h7a �` Ye71•e�r,2z./; T .height <br /> Consultant o U --i un-r I r! c, + i <br /> Geologist <br /> 11 a rmiy l wx+r 25 CONFEno� crwlsii aox <br /> SPECIAL PERMIT INFO. Ground Surfxe T <br /> Distance to sewer line ✓PAY 1,(. nL' je 1 r! grout <br /> 1 ` <br /> Domestic well on site - n <br /> if yes, location and distance- — ]Z 3 ft• { <br /> SAMPLINGC�fo Sarn/O�O�L</�rz - G'0v � slorted - <br /> tecion <br /> Holding Temperature kl 4 _ grxviW pack <br /> Method IV A_ <br /> Screening Method n//4 r: <br /> 'Tracking Sheet - (y/ n ) Al A <br /> t <br /> SPOILS <br /> Storage Method jJin' O-tse f zr MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n r <br /> i Storage Location Ge ii r:� lvf-aT'tr/ac Casing type <br /> Blank fr. Screen 0 <br /> r w - Slot size fl). D L o <br /> GROUTING Bags cement LD 49-1b baar Bog/ <br /> 1 1z,lytxz- <br /> Buckets bentonite 6o f",L <br /> I Depth to water ti 85 b S Bags sand/gravel C! -/6 <br /> Mix Ratios 'QVe.tagej eGrJ41,2 'Filter Park type/size �3 <br /> Installation Method '- a yc. Surge Block: - (Q/ n ) <br /> f Quantity Installed' Discussed with geologist: - j n ) <br /> 1_-T ^ Z."rlG/rWPzD Type of method <br /> EH 29 29 l2& 45 <br /> 21 <br /> 30°1 ba! �iL— T b ie rye' 111aa,}�11I . 76s �:,. 1s ///rn, ,f(r '}(}rLu <br /> Lrl�-_�7A✓�'� ie ti:'a � -.. O�Y�Q/ r/N r'j' If -6 aS /[rw if 94°. <br />