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MONITORING WELL INSTALLATION REPORT <br /> Date: 7- 27—/ 2 CONSTRUCTION <br /> Premise Address: v l�'�SKC�� $4014,4 Q.J Total Depth t ,5 <br /> Screen Length (from) 9- (to) /S' <br /> Well No.: L� ' Filter Pack (from) Jto) /'T- <br /> Bentonite <br /> SBentonite (from) 7 (to) a <br /> Inspector: �ov."Ku w' Grout (from) 7 (to) sem_ <br /> Drilling rig type 4(ick5-5 — jpnE% <br /> Permit No. 5Rcr,65-3r Auger O.D. 2 I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: P&"Cf0k ------ <br /> Driller: ►y1 �K Q �►�IUO casing <br /> height <br /> Consultant �r•C5'S �NGrAJ�F2�A.� <br /> Geologist J.kA.) e.,10AE& - T <br /> ABO VE-G R OUN D <br /> CO W L ETIO N CI-[R ZTYW X <br /> COMPLETION <br /> SPECIAL PERMIT INFO. / Ground Sauce <br /> Distance to sewer line gfout <br /> Domestic well on site - ( y/ n ) <br /> If yes, location and distance - q ft' <br /> lft. <br /> l ft. <br /> a <br /> = m <br /> C <br /> O <br /> SAMPLING <br /> Holding Temperature N <br /> Method = <br /> Screening Method = <br /> Tracking Sheet ( y/ n ) _ <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <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 />