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' ft <br />ft. <br />-5-ft <br />a lo ft/hi <br />sericn <br />cravei pack <br />.2c It. <br />GrcurxISurfacs <br />I <br />casing <br />-3:- height <br />ABOVE-GRCUND <br />CC:44'1-.710N <br />NITOFtING WELL INSTALLATION REPOI <br />Date: 5- • 071 - 0 7 <br />Premise Address: 3 7 3 N • vv:tsort I/V4 y <br />Well No.: M W - I <br />Inspector: <br />Permit No. 50 1, '7 <br />Drilling Company: ...7417 ex- r )1 ;• <br />Driller: o f eieethY- Bree.d4 . ran ks <br />qllis+44) • in: xe_z;aedu. 1;*.s <br />Consultant 1 erra.se4rL‘ <br />Geologist —Rtie_ir- th Ar, <br />SPECIAL PERMIT INFO. <br />Distance to sewer line nk <br />Domestic well on site -(y/n) 7L <br />If yes, location and distance - <br />SAMPLING <br /> <br />C-C4tZ-e.k.„ Salseri <br />Holding Temperature N A <br />Method <br />Screening Method <br />Tracking Sheet - ( y / n ) <br />SPOILS <br />CONSTRUCTION <br />Total Depth <br />Screen Length (from) .25 1 (to) <br />Filter Pack (from) .2 r (to) 3 ' <br />Bentonite (from) 3 t (to) <br />Grout (from) 1' (to) <br />Drilling rig type D — 12.0 <br />Auger O.D. 7; I.D. 3. 25 <br />Completion - Stove pipe/christie box (circle one) <br />Storage Method <br />Contamination Noted - ( y / n) <br />Storage Location <br />GROUTING <br />Depth to water N o Piro v Achdefh:thei <br />Mix Ratios <br />Installation Method I 4abir 3 i-60-- <br />Quantity Installed <br />MATERIALS/DEVELOPMENT <br />Casing type Se.,keetv ie_ <br />Blank 5" ft. Screen <br />Slot size oao <br />Bags cement <br />Buckets bentonite 1 SO qt. ear& 6010( kneol„:(1). <br />Bags sand/gravel 5- 00-11, Laoix 1 f <br />Filter Pack type/size L 3 <br />Surge Block:- ( y — fl o 14)ette,e <br />Discussed with geologist: - 6)/ n) <br />Type of method <br />EH 29 29