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MnMTORiNG WELL INSTALLATION REPORT <br /> CONS�UCTION <br /> Dace: <br /> ?remise Address: Total Depth <br /> Seen Length (from) Cto)_.�--- <br /> 'Neil No.: Filter Pack (from) (to). <br /> Benronite (from) <br /> Grout (from) <br /> Inspector: DrMing rig VIP <br /> Auger O.D. I.D. <br /> ?erznir No. Completion - Stove Qipe/chrisri.e box (circle one) <br /> Drilling Company- <br /> A �, casizq <br /> :eller: � � ;�e=g:ze <br /> T <br /> Consultant <br /> Ceotogist - <br /> �$CVE��Ct'NL7 t�-�RISi-':'-aCX <br /> C: eF=- �'1! C,-{yiP�7CN <br /> G <br /> SPL'rIAI. PBRMI'r INFO. cmrxj Suite <br /> ,grCIA <br /> Distance to sewer line ; <br /> Domestic well an site - `t' <br /> if yes, location and distance - --� - <br /> A _ <br /> a <br /> iSiS O <br /> SAMP1_,ING iinrai c <br /> aQc:cn � <br /> Hoiding Teaperature <br /> Method ` <br /> Screening Method _ <br /> Tracking Shcet - ( Y/ n } `" <br /> SPOILS <br /> Storage Merhody(�{Ty-�IAI.S/DEV�i.QP?ylENT <br /> Contaminadon Noted - C y/ n } <br /> Storage Location Casing type �. <br /> Blank fr- Sween i <br /> Slot size <br /> vaO[.TZ"ING Bags cement <br /> Buckets bentonite <br /> Depth ro water Bags sand/gravel <br /> Filter Pack ;ype/size <br /> MIX Ratios <br /> Surge Mock. - C Y/ n <br /> installation !�fet.�ad } <br /> �� alladancicl Installed Discussed with geologist: C ;�/ n ) <br /> Type of method <br /> - 9 <br />