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Date: <br />WE OF <br />MONITORINGWELL INSTALLATION REPORT <br />Premise Address: <br />Inspectors G_f:� of ' <br />Permit No. 0 - 2-C, ?_,; <br />consultant <br />Geologist <br />Holding peratu <br />Method N-1 <br />ScreeninaAeth <br />Tracking Sheet (y/n) <br />SPOILS <br />Storage Method <br />Contamination Noted es/no <br />Storage Location <br />Distance <br />Domestic NIB <br />If yes, locsi <br />ri <br />GROUTING <br />' line <br />site - yes/no <br />& distance <br />10 <br />CONSTRUCTION <br />Well No. MW - 136 <br />Total Depth e -n " <br />Screen Length <br />Filter Pack -7g, <br />Bentonite Pellets Y? <br />Grout -70" <br />Completion -Stove pipel-chriatie'box <br />Auger O.D. /0R <br />Auger I.D. 7'A, <br />—1 T etk*-Up <br />7, Ti — —WT <br />At•vE-GnOUND cHnis'TY-BOX <br />COMIPLETION COMPLETION <br />Gmund Surfacs - + <br />r— E <br />sloitod <br />64cdon <br />UmvW p&ck <br />MATERIALS USED: <br />Depth to water. W- -7 Casing type PVC 's -CA - �('D <br />mix Ratios Y 3 jArBlank !1:7 ft. Screen ;2-0 ft. <br />Installation Method Ilest slot size V ®02'' <br />Quantity Installed Bags cement <br />Buckets bentonite <br />Bags sand/gravel <br />Filter Pack type/size <br />'Potal Billed time Per Site S'HP- <br />DaLe Permit Finalized <br />