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. OE OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: ` / ' r PLCONSTRUCTION ,./ <br /> Premise Address: vS Well No. l^,G� <br /> T <br /> Inspector: Total Depth <br /> Screen Length 115 <br /> Filter Pack 130' — 173 <br /> Bentonite Pellets 30 <br /> Permit No. Grout �1 <br /> Consultant 1556- Completi a hristie box <br /> Geologist IROA 1yW2Z67r D' <br /> Auger <br /> O..D? <br /> Auger I.D. <br /> SAMPLING <br /> Holding Temperatur stick-up <br /> Method <br /> Screening Met d T <br /> ABOVE-GROUND CHRISTY•Box <br /> TrackingS et (y/n) COMPLETION COMPLETION <br /> nd SuAwe <br /> SPOILS <br /> '/ Afoul <br /> Storage Method �l Va-lelo ��^-r'�"'`• <br /> Contamination Noted I yes o �ft. <br /> tt. <br /> Stora Location <br /> -- P <br /> SPECIAL PERMIT INFO. -- c <br /> — o <br /> �a D� slotted = <br /> Distance to sewer line section <br /> Domestic well on site - yes no = gravolPack <br /> If yes, location & distance - <br /> GROUTING <br /> MATERIALS USED: uI�l,, <br /> Depth to water 23, $� Casing type P( <br /> Mix Ratios Blank ft. Screenft. <br /> Installation Method Slot size <br /> Quantity Installed Bags cement <br /> Buckets bentonite Z <br /> Bags sand/gravel 906' <br /> Filter Pack type/size <br /> Total Billed Time Per Site 2 <br /> y <br /> Date Permit Finalized �-3-gz <br />