Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: a - 01 CONSTRUCTION <br /> Premise Address:4707„ATie[—AvLr— Well No. W <br /> Inspector: Total Depth ' <br /> `5' �G C1 ,,.. �— Screen Length - --'r <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. d Grout ---&' <br /> Consultand?alu1T �{s Completion-Stove p' christie box�• <br /> Geologist i�-1�! �L��r � <br /> Auger O.D. 5 -" <br /> Auger I.D. <br /> SAMPLIN4 <br /> Holding Temperature �c sd&-up <br /> Method_.- P_V'�Sn ke— <br /> Screening Method <br /> AE;6 E-GROUND CHRISTY-BOX <br /> Tracking Sheet (y/n) COMPLETION <br /> COMPLETION <br /> Grourd Surface <br /> SPOILS <br /> grout <br /> Storage Method a0k)UNVOWL 914 tt. <br /> Contamination Noted <br /> Storage Location �. <br /> 40 <br /> SPECIAL PERMIT INFO. <br /> o <br /> eloped <br /> Distance to sewer line "cion _ <br /> Domestic well on site - yeno gravw P8(* <br /> If yes, location & distance :' — <br /> GROUTING <br /> MATERIALS USED: <br /> f <br /> Depth to water _ �� Casing type 15"q__ ¢Q AIC. <br /> Mix Ratios 1-914 Blank ft. Screen5.F5 ft. <br /> Installation Method S' Slot size 0- 0/0 <br /> Quantity Installed Bags cement <br /> Buckets bentonite ' <br /> Bags sand/gravel <br /> Filter Pack type/size <br />