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N <br />MONITORING WELL INSTALLATION REPORT <br />Date: lO <br />Premise Address: fo FfL-i- <br />Inspector: C� Q/®ve-.iiii <br />Permit No. qO - 2-6'7-5` <br />ConsultantPi6L llb I <br />Geologist kl-,s e, <br />Holdin4iii,iiiTempera <br />Method <br />Scree <br />Tramming Sheet (y/n) <br />SPOILS <br />Storage Method <br />contamination Noted - yes/no <br />Storage Location ®A.iy <br />Distance sew line <br />Domestic wel n site - yes/no <br />If yes, to do distance - <br />GROUTING ' <br />Well No. R6j ® l <br />Total Depth 0, <br />Screen Length 2.0 <br />Filter Pack .). <br />Bentonite Pellets <br />Grout <br />Completion -Stove pip /christie box <br />Auger O.D. <br />Auger I.D. ? %" <br />I <br />MATERIALS USED: <br />Depth to water 73 casing type <br />Mix Ratios %A ®fs IL 0 ° 3lbs.:kl Blank ` ft. Screen ft. <br />Installation Method��® l Slot size 12. 02." <br />Quantity Installed Bags cement <br />Buckets bentonite <br />Bags sand/gravel <br />Filter Pack type/size <br />Total Billed Time Per Site 1-0 <br />Date Permit Finalized <br />