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MONITORING WELL INSTALLATION REPORT <br /> Date: 211ho4CONSTRUCTION <br /> du c�r�O <br /> Premise Address:_ •/ fray/ --wil riiPJ rr✓a is�' Total Depth 2flS / <br /> Screen Length (from)' 9ao' (to) /moo ' <br /> Well No.:_ i?.G✓,��-,Vi) Screen <br /> Pack (from) ;VS" <br /> Bentonite' (from) oy, (to)/7S r <br /> Inspector: Grout (from)_ '75' (to) O <br /> Drilling rig type ✓Prs r/�Oo,✓4i <br /> Permit No. Auger O.D._ (o fS�/ I.D. <br /> Drilling Company:_ �/cGL.E Completion - Sto i /chnstie box (circle one) <br /> _ /7�i[i/�i✓/ <br /> Driller:f11&r✓ /�n.,,� lhr/t f�P//.%i y i <br /> --��••••-- casing <br /> Consultant <br /> height <br /> �ie�,g•/�/f <br /> I-,- ._ <br /> Geologist ✓ <br /> ABO VE-GROUND <br /> cowLmON C*iRi M-BOX <br /> SPECIAL PERMIT INFO CCOMPLETION <br /> GroundSurface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) 1 ZS <br /> If yes, location and distance <br /> ft. <br /> ft. <br /> _ - <br /> SAMPLING — o <br /> 110 road — c <br /> taction — <br /> Holding Temperature <br /> Method = vaysa pack <br /> Screening Method = <br /> Tracking Sheet - (y/n) _ <br /> SPOILS SNroP r <br /> Storage Method_ NOdi7l� MATERIALS/DEVELOPMENT <br /> Contamination Noted n) <br /> Storage Location /hieyT daNh P /(P'ur lelllfkft,� Casing typeSc,q Y0 A& <br /> Blank /95� ft. Screen ao' ft. <br /> Slot size 0.0R, <br /> GROUTING Bags cement <br /> Buckets bentonite_ /•-5' y-ag//�,✓ dNvlCdzt <br /> Depth to water <br /> ti <br /> Mix RaBags sand/gravel / 7 / <br /> Ratios Filter Pack type/size CPmdx '#2 ' <br /> Installation Method ___ _ _ _Surge Block:_=K)/n_)___ <br /> Quantity Installed - --- <br /> Discussed with eologist: - / n) <br /> EH 29 29 Type of method <br />