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MONITORING WELL INSTALLATION REPORT <br /> Date• (p /7 0 CONSTRUCTION <br /> Premise Address:= . /JWW Well No. V <br /> Inspector: Total Depth_ / <br /> s• SC Screen Length 3 .5 <br /> Filter Pack -3s a 30 <br /> ,/ Bentonite Pellets A124 Gr <br /> Permit No. U ¢ 1 Grout 30 C) <br /> Consultant Completion-Stove pip chrietie box <br /> Geologist <br /> Auger O.D. J/� .�- <br /> Auger I.D. <br /> SAMPLING <br /> Holding Temperature &&k-up <br /> Method 1;jT_ <br /> Screening Meth d i <br /> ABOVE-GROUND CHRISTY•80X <br /> Tracking Shee (y/n) COMPLETION COMPLETION <br /> SPOILS ���Surface + <br /> proof <br /> Storage Method <br /> Contamination Noted - yee/no ��• <br /> Storage Location tt• <br /> — 'es <br /> SPECIAL PERMIT INFO. <br /> slotted _ c <br /> Distance to sewer line D section _ B <br /> Domestic well on site - ye no <br /> ack <br /> If yes, location & distance - — ��P <br /> GROUTING <br /> MATERIALS USED: ,} <br /> Depth to water / Casing type. ✓CK <br /> Mix Ratios Blank ft. Screen 1 ft. <br /> Installation Method Slot size 0Z10 <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size +�— <br />