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140M.TTORIPIG WL-ILL INSTALLATION R$PORT <br /> Date: 3 • .zG, �� <br /> Premise Address; CONSTRUCTION <br /> Inspector: �, [ Well No. M w <br /> Total Depth S �, <br /> Screen Length ' <br /> Filter Pack Ise <br /> Permit No. 9Q- ,�L Bentonite Pellets 2, ' <br /> Consultant Wg&4_, Grout <br /> Geologist S� Completion-Stove pipe rist�e o <br /> Auger O.D. Ir <br /> SAMPLING Auger I.D. <br /> Holding Temperature_ IV le, stick-up <br /> Method N (A I ru <br /> Screening Method_ M14 <br /> ABOVE-GROUND CHRISIY-BOX <br /> Tracking Sheet (y/n) y(A„ . COMPLETION COMPLETION <br /> [hound Suriws <br /> SPOILS <br /> proal <br /> Storage Method �- <br /> Contamination Noted - yes)no ft. <br /> Storage Location gid si� 44 n. <br /> m <br /> SPECIAL PERMIT INFO. <br /> t <br /> Distance to sewer line ?-cA5 arcdon <br /> Domestic well on site - Celi/no _ 7P <br /> ack <br /> If yes, location & distance - ''•' <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water y g�' 9 Casing type PVC SChf SAO <br /> Mix Ratios_ S% 'New. Z�--f Blank YIL/ ft. Screen /s ft. <br /> Installation Method ��aTd _ _ Slot size U. d2 <br /> Quantity Installed Bags cement <br /> Buckets bentonite Tc.s o <br /> Bags and gravel S'ix <br /> Filter Pack type/size *1 3 1*4,ym�r.4 <br />