Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: Iz� 13)11 CONSTRUCTION <br /> i <br /> Premise Address: q10 c,- (,Annn G\Hca., Total Depth .SO <br /> Screen Length (from) _3(to) S d <br /> Well No.: M W"?, Filter Pack (from) (to) sa <br /> Bentonite (from)�(to) �-7 _ <br /> Inspector: ��M ,.� Grout (from) d (to) a-' <br /> Drilling rig type <br /> Permit No.S(Z-5 b 386$r 6386etr 438'7l�' Auger O.D. I.D. <br /> 0 rr Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: Ijj AQat'a 1 <br /> Driller: IJtI/&' casing <br /> height <br /> Consultant <br /> Geologist jlnny. T- V <br /> CHAISTY 80X <br /> COMPLETION <br /> JCO.lP--LETION- <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line of0 I <br /> Domestic well on site - <br /> If yes, location and Jie nce - <br /> � ft. <br /> _= m <br /> q <br /> O <br /> C <br /> SAMPLING abtted <br /> section <br /> Holding Temperatures grA <br /> Pack <br /> Method— f,'' v E cy w� _ �' <br /> Screening Method 1"I <br /> Tracking Sheet - ((y)/ n) <br /> SPOILS <br /> Storage Method S o{n�rc MATERIALS/DEVELOPMENT <br /> Contamination Noted - / n ) <br /> Storage LocationoyA!5i Casing type -2- <br /> Blank <br /> 2Blank Screen ZO ft. <br /> Slot size .n z r) <br /> GROUTING Bags cement ../ l 5- <br /> Buckets bentonite�� <br /> Depth to water -,/3C7 Bags sand/gravel n! <br /> Mix Ratios a-Y 4.1/- �k� jf— Filter Pack type/size <br /> Installation Method Surge Block: - 0/ n ) <br /> Quantity Installed Discussed with geologist: - n ) <br /> Type of method cy <br /> EH 29 29 <br />