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MONITORING WELL INSTALLATION REPORT <br /> i Date ri 1 S. 2 00 5 S', L - ? F CONSTRUCTION <br /> Premise Address <br /> 9 2 Total Depth 3 s •� <br /> Screen Length (from) 35 (ta} <br /> Well No.:' . W Ct Filter Pack (from) 3S . (to)dEle-Z—F <br /> Inspector: - Bentonite-w (from) C (to) J <br /> —__ 1 G i r xL�t.r . Grout <br /> (from) I <br /> Drilling rig type__ CME rl.9- <br /> } Permit No. _ d f3 7 3_ ---- <br /> 4 ,.Z. _ Aug, <br /> O D' I.D.�� <br /> Drilling Company:- Ca <br /> Completion - Stove pipe/ce box (circle one) <br /> si4a e _ /', I hristz� <br /> Driller; <br /> � {.i -- rt e., aY� ye-�� Tn'12c, <br /> � casing <br /> 5� s istdnfz" L_egarivofy Rm he_ght <br /> Consultantya n e e d 4-4o En V i rp"m e;v�a IV � <br /> Geologist <br />" A?.OVE-G R CUN D <br /> CGI L TiCN G}^�=S7Y 3pX <br /> SPECIAL,PERMIT INFO. <br /> Distance to sewer line 2, 5 -red,+ rac7 <br /> Q <br /> Domestic well on site - ((fY n ) ;. <br /> If yes, location and distance - pit. <br /> ftj <br /> i s De.� 7Eo JdMe A6 c- Wel . �. <br /> 17 <br /> SAMPLING - Soil S4 p I e S: lrle,,-e_ e, <br /> � t ilar.�i c <br /> y1tee lVZl S. ioc�cn <br /> Holding Temperature <br /> Method '=CZ gin• _ a nn..l <br /> Screening Method L; ic4 4Aere_4da r no aW =w <br /> Tracking Shcetn ) edor k� s, <br /> d ri 1� S n ilse-. <br /> SPOILS <br /> Storage Method_- p I!ls++'c v1•S # <br /> $ 4Uce. QY�,fe- MATERIALS/DE�i.OPMENE' <br /> Contaminadon Noted - f y/�1 d' <br /> Storage Location :B an Ea ic m er y 'G e- Casing type, <br /> Blank Al fr Screen 20 fr. <br /> GROUFiNG - � ' <br /> Slot size <br /> Bags'cement S i u S <br /> ChF >~Eue _< bentonice 1v <br /> �8 P <br /> Depth to water 2 :3 Pe,+ „_ F3ags'sand/gravel_ 1 S _ p ) =111140,..� <br /> MiX Ratios S' - 4oggl/ is j4z U FilccrPack c sizei�stallatianMethod r � � � 3 <br /> .e#' -h svrPaeZurgc Block': - ©/IZ ) isl4ter�`�t/I <br /> Quantity Installed S e - a Discussed vAth geologist: - / n <br /> 'Riyersrdc cr+ taxa( erne-zf Type'ofMethod EYLe4-4,1 12 <br /> EH 29 29. <br /> y <br /> �ei2�7nz��� e1�.j�s �vei 12 �C r 30 rni�r V.�&s c <br />