Laserfiche WebLink
Y PAGE !­0F <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: CJ b CONSTRUCTION <br /> . a <br /> Premise Add{ese• W� L Well No. `7 <br /> Inspector: �7[�V1J�d3�� Total Depth IS 2O <br /> Screen Length .d <br /> Filter Pack_ <br /> p Bentonite Pellets <br /> Permit No. Grout <br /> Consultant Completion-Stove pipe/christie box <br /> Geologist_.ca'EE. :ftju slq% 'G <br /> Auger O.D. <br /> Auger I.D. <br /> SAMPLING <br /> Holding Tem er ture <br /> stick-up <br /> Method . C <br /> Screening Method 11�-> <br /> ABOYE-GROlOND CHRISTY•BOX <br /> Tracking Sheet (y/n) COMPLETION <br /> COMPLETION <br /> SPOILS arwxw Suriwe <br /> Storage Method, <br /> Contamination Noted -- es no •^""�-f' <br /> Storage Logation �' I <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> Distance to sewer lin ' � yto secdo <br /> Domestic well on site d � <br /> 9MVW PN* <br /> If yes, location a distance - > <br /> GROUTING -8-(O-'�0 <br /> MATERIALS USED: <br /> Depth to water 'S Casing type �� <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method Slot size .0f- <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size d <br /> Total Billed Time Per Site S�GJEzP1Lp r.�e '�ts ID` SU . <br /> Date Permit Finalized 00 <br />