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MONITORING WELL INSTALLATION RE?- <br /> Date: it b, CONSTRUCTION <br /> Premise Address: VY6 Total Depth l <br /> Screen Length (from) (to) <br /> Well No.: r3 iLlf " Filter Pack (from) (to) <br /> / e p Bentonite (from) (to) <br /> Inspector: � *�C Grout (from) (to) <br /> ,/ Drilling rig type <br /> Permit No ew 7 I/ Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologist � <br /> ABOVE-GROUND CHRSIY-90X <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. F Ground Su Ian <br /> Distance to sewer line grout <br /> Domestic well on site - ( y/ n ) <br /> If yes, location and distance - n. <br /> n. <br /> n. <br /> e <br /> SAMPLING sett C ltj <br /> r abttsd <br /> sacaon- x^ <br /> Holding Temper tureltCi -: — <br /> 7X—A-4-4 <br /> N _ vavW pack <br /> Method l3� , <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> SPOILS j3�„�,� ls �i7 7C� �zQo,,, r„„d ,G,ffi►, <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y ) N�A <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cerithgeologist: <br /> Buckets <br /> Depth to water S S tY 3 Bags san <br /> Mix Ratios th r�. Filter Pa <br /> Installation Method l S Surge Bl <br /> Quantity Installed Discusse - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />