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oXGE Z OF Z <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: ZZ'304 <br /> 0 CONSTRUCTION <br /> Premise Address Well No. #� <br /> Inspector: ,C.K_ Total Depth 6F, <br /> Screen Length *-"O ' <br /> Filter Pack <br /> Bentonite Pellets_ <br /> Permit No. Grout _­� r� ✓ -- <br /> Consultant ..u,, Completion-Stove pipe christie box <br /> Geologist,,_� <br /> Auger O.D./O " <br /> Auger I.D. 16, <br /> SAMPLING - - -- - - - - - <br /> Holding Temperature-Zt-Ar stick-up <br /> Method r1l <br /> Screening Method ,. T <br /> ABOVE-GROUND CHRISTY-BOX <br /> Tracking Sheet (y/n).f_� COMPLETION COMPLETION <br /> Ground Surface <br /> SPOILS <br /> grout <br /> Storage Method <br /> it. <br /> Contamination Noted - 4eitno n. <br /> Storage Location <br /> a <br /> SPECIAL PERMIT INFO. e <br /> slonad = c <br /> Distance to sewer line "coon <br /> Domestic well on site - yes gravefPack <br /> If yes, location & distance - <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water �� I Casing pe V <br /> Mix Ratios &J- Blank ft. Screen 7-0 ft. <br /> Installation Method Slot size .07-0 <br /> Quantity Installed _/ r/y al Bags cement '-r <br /> Buckets bentonite /R4 <br /> Bags sand/gravel /e_ <br /> Filter Pack type/size 3 <br /> Total Billed Time Per Site y6I4" <br /> Date Permit Finalized Ul•( c) <br />