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,o <br /> ry AIONI'I'c>IZIN(: Wl:l.l. - S()lt. IIORINC r <br /> 1NSTALL,V . ON 1(ETOR71. '1 <br /> s: <br /> Date: CONSTRUC'T'ION ' <br /> y Premise Address:- '�-'�"" ' Monitoring Well # � <br /> t Site Code: Total Depth <br /> Screen Length (from') Eto <br /> Permit Nutnhcr(s): Fitter Pack (from) {to) <br /> p <br /> Bentonite (from) (tom) <br /> Inspector. <br /> Grout (from) (to <br /> Depth to 3 "' <br /> Drilling Company: Y� 1 Auger O.D. <br /> Driller: Casing Type 0S a ixC-- <br /> Filter Pack TT pe/Sizc <br /> completion t o ve t e l Christie bo <br /> am S <br /> Consulting Firt p { <br /> C;cologist: Surge Block:.;-sy n) <br /> CONST UC4# 0 <br /> Sant lin ti i� y� <br /> Method or Storigc: Manitaring Well # � <br /> Screening Method:- <br /> Total <br /> Depth`4 <br /> (to <br /> Screen Screen Lengih (from} <br /> S coils k 'r from {tO) <br /> _1 cr Pack } <br /> Pi11 { <br /> to <br /> Storage Method and Location: Bentonite (from ( <br /> r Grout i,'Or (to) <br /> Dcpth to Water <br /> .r <br /> Auger O.D. p Slot Size <br /> C�rnutin>; Casing Type, <br /> Mix Ratios: Filter Pack lType/Size - <br /> Installation Method: Ct�mpietion;`- Stave rist e o _ <br /> Quantity: Surge Block: - (y <br /> cONSTRUCT-ION CONSTRUCT LOM <br /> Snit Baring # Total Depth Monitoring,Well # <br /> Depth to Water Total.Depth; If <br />� r � <br /> Method of Destruction Scrcen Length (from) (to <br /> E <br /> - 'Filter Packs (from) Etn) <br />` 13cntonite (from} (to <br /> f Soil Boring # Total Depth Grout . ,�(from) -� -(tri) <br /> f Depth to Water Depth to water <br /> Method ( Destruction Auger O.D.,, <br /> Casing Type-:h- Slot Sizc <br /> Filter PackiiT�YleJS,zc <br /> SodBoring # Total Depth Complction - Stove pipe / Christie box <br /> Depth to Water Surge aleck: - (y 1`n) ._ „ <br /> Method of Destruction, <br /> Soil Boring # Total Depth k� <br /> Depth to water <br /> IG. Mcthcxl of Destructicm , <br /> 1 <br /> . , Ji _ s <br />