Laserfiche WebLink
'k <br /> MONITORING WELL INSTALLATION REPORT <br /> i� <br /> Date: �� G-� CONSTRUCTION <br /> a <br /> Premise Address: G � Well No. <br /> Inspector: Total Depth <br /> �M Screen Length <br /> Filter Pack �/Z - Z U <br /> Bentonite Pellets <br /> Permit No. Grout - U <br /> Consultant G 7-- Completion-Stove pi e�/c=ri�_st=ebo�x� <br /> Geologist <br /> �I Auger O.D. <br /> Auger I.D. <br /> SAMPLINf3 <br /> Holding Temperature fLC st{ck'uP - <br /> Method !� <br /> I! <br /> Screening Method. 1 <br /> AI&E4ROLIND <br /> Tracking Sheet {Y%n1. COMPLETION CHRISTY-BOX <br /> ! <br /> COMPLETION <br /> SPOILS Ofaw d Sidle <br /> ;; Qrout <br /> Storage Method <br /> Contamination Noted - yes/nod• <br /> Storage Location <br /> SPECIAL PERMIT INFO. , <br /> _ o <br /> Distance to eewerll;line ��44" tted <br /> Asn r' <br /> Domestic well on Bite - yesmp <br /> If yes, location & distance - « "_ 9M'"aD <br /> ,F <br /> �I <br /> GROUTING <br /> is <br /> MATERIALS USED: <br /> • ���Depth to water. � ,._ Casing type_- _ <br /> Mix Ratios i, Blank_ ft. <br /> .creep ft. <br /> Installation Method Slot size ` 62 <br /> Quantity Installedhags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> i �� <br />