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�80]�80U�N <br /> ��&|V����UU�|� Environmental ������� ���a�ment <br /> � --C(}UNTY-- ^ <br /> Graznussmxs h~u^ <br /> Monitoring Well/Soil Boring Inspection Report <br /> / ' <br /> CONSTRUCTION <br /> Facility Address: <br /> N/eUAdd Total L' <br /> ' / ��/ ' KL' <br /> vv |l#: Drilling Rig Type: <br /> Soi| 8uhng# <br /> Min 2"Annular EHD Seal Verified: LJ Yes []No <br /> Drilling Company: <br /> Driller Screen Length Foono: To: __________ <br /> ' �-------- |FiterPack From: To�� <br /> Consultant: <br /> 71 <br /> Geologist: 8entonite From: /i�, To: C)_____ <br /> Grout Frunn: To:__________ <br /> Public Water System Onsite: [] Yes []Nu YI]889LET7{}N [] Stove Pipe [][hristieBox <br /> Domestic Well Onsite: [] Yes []No <br /> casing <br /> |f yes, location and distance: height <br /> W- T <br /> SAMPLING � <br /> Holding Temperature: cmom"uEnrm COMPLEETiON <br /> -''--'' <br /> Method:- cromvum"aac* <br /> Screening Method: grout <br /> Verified Chain ofCustody: [] Yes []No <br /> SPOILS <br /> Contamination Noted: [] Yes []No <br /> |f yes,spoils storage Location: <br /> Covered: [] Yes []No / <br /> |f yes, material: <br /> GROUTING or DESTRUCTION /n/ <br /> Tota| Depth /�� X <br /> Depth toWater: -----'ft �-'---����^� <br /> Grout Material: eA,%,-fo4,Nj-, MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> *ell Installation []VVe|| Destruction Blank Feet Feet Screen---_-___- ------_--' <br /> Slot Size: <br /> � <br /> []Bohng|nstu|/ution []BuringDestruction <br /> Bags ofCement: <br /> METHOD USED BagsSand/Graxe/: <br /> []Pressure Grout []OverDri|| Type/Brand ofBeotonite: <br /> Filter Pack Type/3ize: <br /> [] Gravity O< mie []Other: Type ufMethod: <br /> gallons Bags gallons Bags <br /> Thinnest #Bags Thickest Thinnest 4 Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> Thickest I <br /> 10/16/2017 <br />