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MONITORING WELL INSTALLATION REr'r <br /> Date: P 0 be,,v, 11 . 200S CONSTRUCTION <br /> Premise Address: 93Z. H W 4 91 Total Depth_ LuL <br /> Screen Length (from) 40 ' (to) ZO ` <br /> Well No.: M til/) O 3 Filter Pack (from) 1/ 1 (to) /B ' <br /> ` / Bentonite (from)---/9 ' (to) /S <br /> Inspector: V ) G k, e r e4j Grout (from) JE ' (to) s -r _ <br /> Drilling rig type <br /> Permit No. R 5 °Z Auger O.D. g ;-nf e E I.D. . z — -kr .r i <br /> Completion - Stove pipe/ tie box trc e o e <br /> Drilling Company:�.S/'/��f ��� �I I � _ <br /> Driller:_ JCPr' 1'tar'I re,M4 casing <br /> 6ss;Sta'1' S Mar,'p L IQrnoS rldrGry A/y height <br /> Consultant A J E; <br /> i <br /> Geologist Pry P_. ri S 11 Y 7//, r T <br /> ABOVE-GROUND CNFi1SfY-80X <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surf COMPLETIOW' <br /> Distance to sewer line t" grout <br /> Domestic well on site <br /> If yes, location and distan e -f I S ft• <br /> a oa r 2. o2=Z� Q .5, v+ A()ej V0 ft. 19 ft. <br /> SAMPLING = ° <br /> Slotted <br /> Holding Temperature A/ <br /> Method V'�pack <br /> Screening Method dy <br /> Tracking Sheet (�n) <br /> . <br /> -41ft. <br /> SPOILS Tcia( <br /> ZfvY I f ez l <br /> Storage Method Stb lit- MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y on <br /> Storage Location [r» "c,-+c, Casing type_ Sn�i�, „�o 0 y Q, <br /> Blank 2 D ft. Screen a& ft. <br /> Slot size 00,--b-z4 " <br /> GROUTING Bags cement <br /> Buckets bentonite 5z c,re.cou <br /> Depth to water ree bS Bags sand/gravel / /U Vjlb Eg i �1 f <br /> Mix Ratios A Yelllv Filter Pack type/size 3 <br /> Installation Method Surge Block: - (y/0 <br /> Quantity Installed 117a+ck Discussed with geologist: - 0 n ) <br /> Type of method <br /> EH 29 29 hew S44t/1 <br /> e, dri <br /> e Gc�eZ(t oej- Y G d r lI I A 4kj-S4&,z / t-& U I U <br /> oval lie-4,31i ill b4� a f M IV 0 <br /> rl,, � 1 <br />