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h <br /> twel <br /> I <br /> MONITORING WELL INSTALLATION REPORT <br /> f . <br /> Date: 23 9U CONSTRUCTION <br /> Premise Addreaq Well No. ! - <br /> Inspector• Total Depth 6 ' <br /> Screen Lengthl <br /> Filter Pack <br /> Bentonite Pellets. �, _ <br /> Permit No.-1(2- <br /> Consultant <br /> o. (7-Consultant Completion--Stove pipe/c rit� stie Sox <br /> Geologist <br /> Auger O.D. D <br /> Auger I.D. <br /> SAMPLING I <br /> _-- <br /> Holding Temperature y b� s�'uP <br /> Method f" <br /> Screening Method nS <br /> ABOVEGROUND CHRISTY-DOX <br /> Tracking Sheet n) COMPLETION <br /> COMPLETION <br /> Gmund Surfws <br /> SPOILS + ��~_ <br /> Storage Method_ _ Z. <br /> Contamination Noted - yes/no ��• <br /> Storage Locations /�.� z�7 S �� n• <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> � //�� � slo�t4d � <br /> Distance to sewer line !iw"''�� "cdon _ $ <br /> Domestic well on site - yesn F <br /> If yes, location & distance - — <br /> �n. 7"park <br /> Z° tc. <br /> GROUTING <br /> MATERIALS USED: <br /> .,w 1 <br /> Depth to water f Casing type �l1ti V�� <br /> Mix Ratio 174d.A A Blank ft. Screen ft. <br /> Installation Method Slot size—,6Z- <br /> Quantity <br /> ize-1jZQuantity Installed _ 3 Bags cement <br /> - Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size_, <br /> y/Z ����6 <br />