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MONITORING WELL INSTALLATION REPORT <br /> Date; � CONSTRUCTIO <br /> Premise Address. IW GSI i50A/0/ -' Well No. Mw-4 <br /> Inspect Total Depth '545 <br /> Screen Length S - <br /> Filter Pack. 2-9' - 5 ?"27 <br /> r� Bentonite Pellets 't <br /> Permit No. "d U r J Grout- 2S' <br /> Consultant 'AC{�L C`Z T?m`5 Completion--Stove pipe/chriat e box <br /> Geologist 89A! C.'rttfli <br /> Auger O.D. <br /> Auger I.D'. s <br /> SAMPLING _ <br /> Holding Temperaturefl aiidc-up <br /> Method Ct2C"b4l"?') Z <br /> Screening Method U06- <br /> AJ;6V -GROUND CHRISTY-BOX <br /> Tracking Sheet (y/n) COMPLETION COMPLETION <br /> SPOILS t3=n d Sufses <br /> WM <br /> Storage< Method � ��I � � <br /> Contamination Doted - yes/ ft. <br /> Storage Location .....ft. <br /> 0AJ « I SZ <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> Distance to sewer line ' •asu <br /> Domestic well on site - yes/no <br /> If yes, location distance <br /> Ott• �• <br /> G1RQVTING <br /> MATERIALS USED: <br /> Depth to water Casing type ov <br /> Mix Ratios v+ C ptu, Blank 0 fft. Screen ft. <br /> Installation Method M�- Slot size f..) t Q <br /> Quantity Installed Baas cement <br /> Buckets bentonite <br /> Sags sand/gravel. <br /> Filter Pack type/size Z"-ib <br />