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MV ')RING WEED INSTALLATION REPORT <br /> Date: � CONSTRUCTION <br /> P:e:rise Address: 1�10U 1k) -�-�w4e Total Depth ZS <br /> Screen Length (from) ZS (to) S <br /> Well No.: 3 Filter Pack (from) ZS _(to) <br /> Bentonite (from) 4 (to) ' Z <br /> Insoec:or. Grout (from) Z (to) <br /> Drilling rig type 1 <br /> Permit No. �'�' � Auger O.D. 7 " I-D. 3 <br /> Completion- Stove pipe/christie box (circle one) <br /> Drlling Compan)r. <br /> C" <br /> cas_ng <br /> Orller: l�Jl-� height <br /> Consultant <br /> Geologist Mme- C , <br /> �iAtS�Y-30X <br /> C:MPS....=►!CN <br /> Cxasnd Sul=* — <br /> SPECIAL PER_NIIT INFO. <br /> 9roct . <br /> Distance to sewer line K)JA <br /> Domestic well on site - (y/ n 14 tL <br /> If,yes, location and distance - <br /> tr. <br /> y: 73 <br /> tbttad ::: <br /> SAN PLING <br /> Holding Tempe toren <br /> Method ' <br /> Sc:ee=* g Method <br /> Tracking Sheet - (y/ n) Z 5 ,� 7 4-.LEE ft. <br /> SPOILS <br /> Storage Method s MA 1-RIALS/DEVELOPW. -NT <br /> Contamination Noted - Z<< � <br /> Storage Location 0-'KCasing type <br /> Blank ft. Screen 2V fc- <br /> Slot size ' <br /> GROUTING Bags cement <br /> Buckets bentonite t 2- 98 � <br /> Depth to water 2 Bags sand/gravel S (� <br /> N1LY Rados Filter Pack me/size *3 L.S <br /> I IL*c Rados Met.�iod Surae Block: - (y/n <br /> Quantity Installed Discussed with geologist: - 61 n) <br /> Type of method <br />