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SOIL GAS PROBE CONSTRUCTION Geosyntec'% <br /> consultants <br /> Probe ID Site Location <br /> Project Name Field Personnel <br /> Project Number Recorded By <br /> Permit Number Drilling Contractor <br /> Installation Date(s) Driller <br /> Drilling Method ❑ Temporary Soil Gas Probe <br /> Borehole Diameter ❑ Permanent Soil Gas Probe <br /> Materials Used ground surface elevation <br /> ❑surveyed ❑estimated <br /> Pipe/Tubing: Diameter cm/inches ♦� ., <br /> Construction L ❑ ball valve with compression fittings <br /> ❑ other <br /> ❑ NylaflowTubing <br /> ❑ <br /> .,� concrete ❑ cement <br /> El Other <br /> feet* <br /> O o O <br /> Soil Gas Length cm/inches - - <br /> :•� El course sand drainage layer <br /> Implant: Diameter cm/inches <br /> ❑ pea gravel drainage layer <br /> Construction feet* <br /> ❑ Stainless Steel O Elbentonite <br /> El Brass <br /> ❑ Polyethylene <br /> ❑ Other <br /> drilled hole in diameter <br /> Surface Fitting: ❑ Ball valve with compression fittings <br /> ❑ Other <br /> ❑ nylaflow tubing <br /> ❑ other <br /> Protective ❑ Flush mount <br /> Casing: <br /> ❑ Above grade <br /> Length cm/inches <br /> Stickup cm/inches feet* <br /> Construction ❑ Cast Aluminum <br /> ❑ Cast Steel <br /> ❑ Other <br /> Casing ❑ granular bentonite <br /> Installation: Depth cm/inches <br /> feet* <br /> Diameter cm/inches <br /> • • <br /> • • • El filter sand#2 <br /> ♦ 0 ♦ 0 ❑ other <br /> • • • •• feet* soil gas implant <br /> • <br /> • • • • ❑ stainless steel <br /> ♦ ♦ 0 ❑ brass <br /> • • • ❑ polyethylene <br /> • • <br /> - • • • • ❑ other <br /> • • 0 feet* <br /> • • • • <br /> feet* <br /> *Depth Below Ground Surface <br />