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M�ORING WELL INSTALLATION REPORT{` i <br /> �.! <br /> 43 CONSTRUOON <br /> Date: 77 30 <br /> /S�/S S' 7 Total Depth <br /> Premise Address: Screen Lengm (from) 3D —(to) <br /> /taf Z Filter Pack (from) 30(t ) 19 <br /> Well No.: Bentonite (from) <br /> �� _ Grout Cfrom) q (to) <br /> Inspector: Drilling rig type <br /> q3-DSAS <br /> Auger O.D. T tii I D 33 <br /> Permit No. Completion- Stove pipe/chrisde box (circle one) <br /> Drilling Company W��'yy7/� -" casing <br /> Driller. "� � AF height <br /> Q f <br /> Consultant t <br /> i5Al A30VE-GRCUND IZ—,:�0X <br /> - <br /> egst �"` fPL=fONC0M CN <br /> SP°CIAL PER-MIT INFO. 9rTQK <br /> Distance to sewer line �/� Z.J_—h• <br /> Domestic well on site - C y/ n) !z tt. <br /> ' If,yes, location and distance - — <br /> K _ m <br /> slonad Z;. <br /> SAMPLING a�cion <br /> rt V _ ,.::. = 72 "rack <br /> Holding Tem era a Or uR A 1 <br /> Method Y <br /> Screening Method <br /> Trac'.ting Sheet - y n) 30 -ft. T = M. <br /> SPOILS <br /> Storage Method ss MA °RIALS/DEVELOPiE <br /> Contamination Noted - , y n ) <br /> Storage Location Casing type <br /> Blank IS ft. Screen /•S ft- <br /> 1 Slot size -O <br /> i y > Bags is bent nit 3 <br /> GROUTING <br /> �— /� <br /> Buckets bentonice - <br /> Depth to water <br /> Mix Ratios OH e o t 2Se Filter Pack type/size 3 <br /> Installation Method � <br /> Surge Block - W n) <br /> Quantity installedDiscussed with geologist: - 0. n) /e- / <br /> Type of method dei /�*�4G <br /> �O� <br />