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MOORING WELL INSTALLATION R POP-T <br /> Dace: <br /> y2— /9 /r CONSTRUCTION <br /> l� S -5-. <br /> Total Depth 30 l5 <br /> Premise Address: Screen Length (from) 3�—(CO) t3 <br /> Filter Pack (from)_- Cto) — <br /> Well No.: ,�t3 (to) mac= <br /> Bentonite (from)_ . <br /> v - (to) <br /> ��.,.._.,�•..�+�..,,> ;.;�...�- ,� Grout _ (from) <br /> inspector. Drilling rig ryPe, ID <br /> Auger O.D. <br /> Permit No. <br /> - Completion • Stove pipe/chrstie box (circle one) <br /> Dr3ling Company. <br /> easing <br /> height <br /> Dr11er. - +� <br /> Consulrant J' '�'�`�' �I <br /> P� - <br /> �� Afs-4-� FJ A9CVE GACLND <br /> 1� Grolagi t U/ OMP 11CN <br /> >. =�= <br /> ""` Ground Sufaes •- - - .^-1 <br /> SPErrat oEgyIITiNFO. ePA grout <br /> Distance to sewer,line t / " <br /> Domestic well on site - (y/ n) + _?' ft = {2 <br /> If yes, location and distance - ft. _ <br /> l <br /> sic W <br /> r•; <br /> SAMPLING Gsl ` tac7on <br /> SV*i Pack <br /> Holding Tempera <br /> Method�� l Syoc• Jf � _ , <br /> Screening Method t� __ <br /> Tracking Sheet y n ) h 3�ft• tt. <br /> SPOILS <br /> Storage Method .rte^- S� 1 MA71`RI�Zp�LOPMENT-, <br /> Contamination ed - y n ) 2" �L �p INC_ <br /> Storage Location t' i� s v Casing type <br /> � Blank I ft. Screen i2fT- <br /> a i Slor size Z' ` <br /> Bags cement <br /> GROUTING Buckets bentonite � <br /> * Bags sand/gravel L ear <br /> Depth to water Filter pack type/size L 5 <br /> Mix Rados � fi 21�e2 Surge Block - ) <br /> Insmiladon Method Discussed with o ogist: - (y/ n) <br /> Quantity Installed 61 — Type of method <br />