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MONITORING WELL INSTALLATION REPO.-__ <br /> Date: / P I CONSTRUCTION <br /> Premise Address: �� / ` �`� ( � Total Depth <br /> Screen Length (from) (to) <br /> Well No.: AA V-J - Filter Pack (from) (to) <br /> \ Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> �/_P" height <br /> Consultant V19 —EFW-f <br /> Geologist •- <br /> ABOVE-GROUND CHRIS 43OX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) ft. <br /> If yes, location and distance - <br /> ft. ft. <br /> •.y.. O <br /> C <br /> O <br /> SAMPLING stoned <br /> section <br /> Holding Temperature = gra,W Pack <br /> Method _= <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> ft. "�` — ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water �`� Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br /> i <br />