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1-e0NITORING WELL INSTALLATION REPO,,,, <br /> Date: 12-4 LP Jo A 1 ,,V CONSTRUCTION <br /> Premise Address: I l� > ! 1 t �( Total Depth <br /> Screen Length (from) W1 (to) lo' <br /> Well No.: MW-5 Filter Pack (from) 1 (to) <br /> Bentonite (from) (to) <br /> Inspector. Grout (from) r (to) <br /> Drilling rig type <br /> Permit No. Q S Auger C.D. <br /> Completion - Stove pip sue box, circle one) <br /> Drilling Company: / !t <br /> Driller: r9eN-e �iu'/lQ5 `t ILWt iGiVdC7 casing <br /> K 1^�_ pp � � " T height <br /> Consultant `JUY lY\ t_[.�y�x E/(� <br /> —EWT <br /> Geologist join LU1) f'Y t / �g�LA <br /> AWVE-GROUND <br /> COMPLETION CHRIM-Box <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground SLUO <br /> Distance to sewer line (Altj grout <br /> Domestic well on site - y n) <br /> If yes, location and di ft. <br /> �4JL..ft. tt. <br /> SAMPLING slored <br /> secdcri <br /> Holding Tempera e— <br /> Method (11'J5{1Q1 Iru / Na.( ttd- � <br /> Uns <br /> Screening MethodTracking Sheet - y n ) tt. <br /> SPOILS <br /> Storage Method s^AL MATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) 21tC <br /> Storage Location pG51 ?�� Casing type <br /> Blank `I9 ft. Screen ft. <br /> Slot size d 1 U <br /> GROUTING Bags cement <br /> a Buckets bentonite R <br /> Depth to water Bags sand/gravel <br /> Mix Ratios r _ Filter Pack type/size <br /> Installation Method 1y Surge Block: - (y/ n ) <br /> Quantity InstalledlVily, Discussed with geologist: - (y/ n) <br /> Qy l �l C jp Type of method <br /> EH 29 29 ✓✓ C Vi wwt l 4 <br /> Q'f OA VDAIAU � <br />