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K40NITOPJNG WELL INSTALLAT1`llyN REPOIr <br /> Date: l Y�' ()7 CONSTRUCTION <br /> Premise Address: d W � ,"X4 Total Depth S <br /> Screen Length (from) A-Or (to) /U <br /> Well No.: II Filter Pack (from) a'S (to) V <br /> Bentonite (from) —(to) b <br /> Inspector: Grout (from) (o (to) 0 <br /> S� X93 6 P Drilling rig type 8l <br /> Permit No. Auger O.D. S I.D. It <br /> kABOVE-GROUNE <br /> e/christie box (circle one) <br /> Drilling Company:, , L�E W <br /> Driller: / ^ ^- f g <br /> t <br /> Consultant �y� _/Geologist Lt'61.�r�- i' T <br /> CHRISiY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Suel <br /> Distance to sewer line �'�d ' grout <br /> Domestic well on site - E y/ n ) �j <br /> If yes, location and distance - ft' <br /> ft. <br /> — a <br /> = m <br /> SAMPLING slatted <br /> "cion <br /> Holding Temperature <br /> Method — g'�Pack <br /> Screening Method = " <br /> Tracking Sheet - (y/ n ) <br /> 25 ft. = ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) Z d J� �. A <br /> Storage Location Casing type <br /> Blank /D ft. Screen /S ft. <br /> Slot size .O <br /> GROUTING Bags cement <br /> Buckets bentonite / <br /> Depth to water �s Bags sand/gravel <br /> Mix Ratios /1ti¢P /,r, ✓ t c Filter Pack type/size 3 <br /> InstallationMe� Qe/ Surge Block: - ( / n <br /> Quantity Installed �O 9✓� Discussed with geo ogisn - (y <br /> Type of method <br /> EH 29 29 <br /> /- ZZ - OF- <br />