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-.nvIONITORING WELL INSTALLATION REF T <br /> Date: —M ')—(0 6 I CONSTRUCTION C <br /> Premise Address: C S W '( STotal Depth J <br /> Screen Length (from) (to) SS <br /> Well No.: �L Filter Pack (from) (to <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type_ t� <br /> Permit No. Auger O.D. --z5 '/4 I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologist — � ^ <br /> ABOVE-GROUND <br /> COMPLETION x <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sudan <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) 5 <br /> If yes, location and distance - tt' <br /> _35 <br /> +;. <br /> `q m <br /> P <br /> 0 <br /> C <br /> SAMPLING sloded _ B <br /> Becton <br /> Holding Temperature <br /> Method <br /> Screening Method — <br /> Tracking Sheet - (y/n) SS , <br /> SPOILS <br /> Storage Method 1 / ! ` MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) t n`/ <br /> Storage Location Casing type Y V <br /> Blank Z ft. Screen ;2 ft. <br /> Slot size n I <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/n ) <br /> Type of method <br /> EH 29 29 <br />