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If , <br /> '.. AGE OF <br /> MONITORING WELL INSTALLATION REPORT <br /> f <br /> Date: t5-190 CONSTRUCTION - <br /> Premise Add re 01 5 /�- Well No. 3 <br /> Inspector; Total Depth <br /> Screen Length <br /> Filter Pack - 2 � <br /> Bentonite Pellets 12--10 <br /> Permit No. Grout !6 - <br /> Consultant_ Completion-Stove pi /christie <br /> Geologist__ . <br /> Auger O.D. <br /> SAMPLING <br /> Auger I.D. 10 <br /> Holding T erature ►"� `���2�L✓ s�ck'up <br /> i Method �T _ <br /> Screening Method Se <br /> ABpVE-GROt1ND CHRISTY-BOX <br /> Tracking Shee y n) COMPLETION <br /> SPOILS ���Surface T <br /> z grout <br /> Storage Method �G <br /> Contamination Noted - y s/no �Tt' <br />' <br /> storage r� — •:2- ft. <br /> n. <br /> SPECIAL PERMIT INFO. <br /> _ o <br /> slotted � <br /> Distance to sewer line "can <br /> Domestic well on site - yes/no — �VSI i <br /> If yes, location & distance - <br /> ack <br /> GROUTING <br /> r b� 3 <br /> �- <br /> MATERIALS USED: <br /> 1��,! <br /> Depth to water � _f'� -'i Casing typev Kedm <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method to Slot size 6),O10 <br /> Quantity Installed I Sags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />