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MOS,,rORING WELL INSTALLATION REPORT <br /> Date: I L-5 A2, 61-X 2 X� CONSTRUCTION <br /> n <br /> Premise Address: Total Depth 3 <br /> Screen Length (from)45'(d' (to) 3(0'21' <br /> Well No.: Filter Pack (from) 34o'7-" (to) 35' 9" <br /> ,,,�� Bentonite (from) 3 5'9" (to) 3.('8" <br /> g <br /> Inspector: U Y , 1 d; Grout (from) 3'i'&' (to) O" <br /> Drilling rig type <br /> Permit No. U- m53� Auger O.D. " I.D. <br /> Drilling Company: <br /> 6 q <br /> � Completion - Stove pi cluis ebb. (circle one) <br /> Driller: casing <br /> he:Sht <br /> Consultant457 In. I C( IV <br /> —�a w, <br /> Geologist Y Vlt�f J� •- <br /> ABOVE-GRCUNO CNRSSTY c30X <br /> 00&VL`RI0N COMPLE71CN <br /> SPECIAL PERMIT INFO. Ground Sumacs <br /> Distance to sewer line Qfcut <br /> Domestic well on site - (y/ n ) <br /> ft. <br /> If yes, location and distance - <br /> ft. <br /> "t. <br /> = m <br /> C <br /> SAMPLING i1or" <br /> auc-tcn <br /> Holding TemperatureVivol= F <br /> ack <br /> Method = <br /> Screening Method -_ <br /> Tracking Sheet - ( y/ n ) — <br /> _...__t3. EiU Itt. <br /> SPOILS <br /> Storage Method (Sbl_ YA QA ,X-� MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( yp U <br /> Storage Location V�D4N L UrP d Casing type <br /> Blank a 1p ft. Screen ft. <br /> Slot size 1 <br /> GROUTING Bags cement .3 n <br /> Butizets-bentonite - <br /> Depth to water I�� Bags sand gravel <br /> Mix Ratios _ Filter Pack type/size <br /> Installation Method Surge Block: - ( y <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />