Laserfiche WebLink
• 0 <br /> MONITORING WELL INSTALLATION REPORT <br /> Date:_ r _ 2l -15- <br /> U S � CONSTRUCTION <br /> Premise Address: pTotal Depth S7-v <br /> to Screen Length (from)_ fp (to) <br /> Well No.: Aw- I:b t MW -1"7 Filtpr pack room)Bentoni ----_- <br /> Inspector: �. yp Groutte (from) 2s_ (to) �� <br /> (from) O • .' (to) Z s <br /> Drilling rig type 11 . <br /> Pernzit No. Auger O.D._ I?, Lr- I.D. 8 '� <br /> Completion - Stove pipe/chs-istie box (circle one) <br /> Drilling Company: WenAaA') Qrr HI <br /> Driller:_ DGk►L k /►P/ �(--� casing <br /> 6 height <br /> Consultant_ ' 1 <br /> Geologist it�l V I A✓ U 1V'0L7 T <br /> .� <br /> A SOVE-G ROUN D <br /> CCWPLETON CNAISTY=BOn <br /> SPECIAL PERMIT INFO. COMPLETION <br /> C3rour�Surface <br /> Distance to sewer line ---7a grout <br /> Domestic well on site - (y/ <br /> If yes, location and distance - ZT ft, <br /> ft. <br /> = o <br /> — a <br /> — m <br /> SAMPLING — o <br /> slattad c <br /> Holding Temperature spoon <br /> Method = grav84 pack <br /> Screening Method <br /> Tracking Sheet - (y/n) - _ <br /> SPOILS <br /> Storage Method_ 0t o,Mf MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y n <br /> Storage Location 0 <br /> Casing type_ puc <br /> Blank ft. Screen -0 ft. <br /> Slot size . 0 <br /> GROUTING Bags cement mil <br /> 3 Buckets bentonite <br /> Depth to water Bags sand/graveI _ <br /> Mix Ratios_ 6o wG nev 1 �4 ( Filter Pack type/size <br /> Installation Method_T0r�164 t �- Surge Block: - (6)/ n ) <br /> Quantity Installed Discussed with geologist: - / n ) <br /> Type of method <br /> EH 29 29 <br />