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MONITORING WELL INSTALLATION REPORT <br /> Dater e' CONSTRUCTIb <br /> Premise Addresst3VZr--22u_Z'-1 Well No. � �d <br /> Inspectors Total Depth S! <br /> Screen Lengt Zlc <br /> Filter Pack �- <br /> Bentonits Pellets_T-6S <br /> Permit No. Grout <br /> Consultan (i Completion-Stove gip chrlsq ox <br /> Geologist M bIXO-- i <br /> Auger D.D. { <br /> Auger I.D. <br /> �14MPI,INf3 . <br /> Holding Temperature <br /> Screening Method L[A ., , � <br /> Tracking sheet y/ y uE-GHun <br /> iovE cfiap ` <br /> CO 10N. C1 IM-box <br /> COMKETION <br /> SPOILS <br /> ww <br /> Storage Mgthod , -2— <br /> Contamination Noted ^ yep,/ �} n <br /> Storage Location n• _ I <br /> ' w <br /> S CI T INFO, <br /> Wawa <br /> . �ktiOfl <br />` Distance to sewer line - <br /> r <br /> Domestic well on site - yes no <br /> If yes, lavation & distance <br /> 4 O- ..T4 <br /> r MATERIALS USED: . <br /> �v►1 . <br /> Depth to wAtar f Casing type <br /> Mix Ratios Blank_ ft. Screen <br /> -2-0 Method eft' <br /> Slat size 'd'�-!� <br /> Quantity Iostalled Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size�� <br /> 6 <br /> t, � t <br />