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MONITORING WELL I REPORT <br /> :1 �U� J � <br /> Date: S4`� 1 CONSTRUCTION <br /> Premise Address: S � LJ Total Depth <br /> � <br /> /1 ,, p Screen Length (from) (to) <br /> Well No.: 1'00 SVA , Dm cel L Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: i LC Sks uy'\ Grout (from) (to) <br /> Drilling rig type <br /> Permit Auger O.D. I.D. <br /> p_,_ - Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company:, '37(��r�-i ��/�'\ <br /> Driller: .6T)tl �_� r1i1�� casing <br /> height <br /> Consultant 1 <br /> Geologist ', 2'-';� E'a - ej"f ABCVE-GSOUN-- <br /> 0)q �1� ��� CONFLETIOND <br /> C4-FitSTY-80X <br /> CCUPLEMN <br /> SPECIAL PERMIT INFO. Ground Sumacs <br /> Distance to sewer line <br /> grout <br /> Domestic well on site - ( y/ n) <br /> If yes, location and distance - ft. <br /> ft. <br /> C <br /> SAMPLING <br /> Holding Temperature = gave F <br /> Method = <br /> Screening Method rc = <br /> Tracking Sheet - (y/ n ) <br /> �ft. <br /> ft. <br /> SPOILS <br /> Storage Method MATEPJALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUPING 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 />