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i <br /> r <br /> MONITORING WELL INSTALLATION REPORT <br /> Dateh °/ _ CONSTRUCTION <br /> Premise Addreim:227 Well No. A.v✓' <br /> Inspector: Total DepthJ(( <br /> Screen Length it) ' <br /> _ <br /> Filter Pack_ osc�. <br /> �( r2 Bentonite Pellets <br /> Permit No. Grout <br /> Consultant tea✓ Completion-Stove pipe christi"ox <br /> Geologist ..�� <br /> Auger O.D. 6 <br /> Auger I.D. <br /> SAMPLING <br /> Holdingm eratu - <br /> addo-uP <br /> _Ty <br /> Method /G4Y' <br /> Screening Method r <br /> ABOVE-GROUND CHRIM-BOX <br /> Tracking Sheet 00�/-U. u COMPLETION COMPLETION <br /> Ground Surface <br /> SPOILS <br /> grout <br /> Storage Method n. <br /> Contamination Noted - yea no 4 • <br /> Storage Location- <br /> a <br /> m <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> Slotted <br /> Distance to sewer lin vection _ <br /> Domestic well on site - yes/no — <br /> v :�:: � grav4l Pads <br /> .location & distance - <br /> LA <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water 1 Casing t �� <br /> Mix Ratios t iBlank ft. Screen /U ft. <br /> Installation Metho Slot size ,O 2-0 <br /> Quantity Installed / Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br />