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MONITORING WELL INSTALLATION REPORT <br /> -. <br /> Date: 2 ; CONSTRUCTION <br /> Premise Address: It' I T 7 Total Depth <br /> Screen Length (from)' / 7g, _(to) <br /> 2,�0 <br /> Well No.: U/' r Z (�' Filter Pack <br /> (from)_ ) `e (to) z. P1-- <br /> Inspector: s e' (from) /62, ,5— (to) !e, <br /> Grout (from) 0 (to) <br /> Drilling rig type r��V ��n;.�f't� <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/cluastie box (circle one) <br /> Drilling Company:_ ��3%,� j— . <br /> Driller: ` / t 1/E L'6�Sz 14 casing <br /> height <br /> Consultant t-b ( <br /> Geologist K i/iN 1'*-"!5.f/Lytii7 ._ <br /> ABO VE-G F OUND <br /> COM?LETcN CHRf TN-80X <br /> SPECIAL PERMIT INFO. Ground SLx1act COMPLE-nON <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) <br /> If yes, location and distance - ft. <br /> r'70.ft. ft. <br /> O <br /> SAMPLING — o <br /> s to ttad = <br /> aacdon <br /> Holding Temperature <br /> Method — VIVV4 p <br /> Screening Method L Tracking Sheet - (y/n) _ <br /> SPOILS <br /> Storage Method M_ ATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> Storage Location Casing type G I;'-IC ST �r�� Scii'E1F,- <br /> Blank i 7�p ft. Screen er ft. <br /> Slot size 0, C+ n <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size.T-I Z Z .0 mss. <br /> Installation Method -Surge <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> EH 29 29 <br /> Type of method <br /> , <br />