Laserfiche WebLink
41 <br /> MONITORING WELL INSTALLATION REPOnf <br /> Date: Z je-C� C)(DH CONSTRUCTION <br /> Premise Address: ) 099S Cir/I N e 5 Total Depth 2.0 <br /> Screen Length (from) /U (to) <br /> Well No.: M W ^ N 2_ Filter Pack (from) (to' -F-t <br /> <- Bentonite (from) 5 I (to) <br /> Inspector: HJ�t N ^`Z Grout (fromM�(to) <br /> Drilling rig type ' <br /> Permit No. Is2 00H 05 2-:T Auger O.D. I.D. <br /> p Completion fSbve ptp /christie box (circle one) <br /> Drilling Company: \� ( U 1�-A" �_ <br /> Driller: T ni l Tom$C'�° `1 casing <br /> 3� hq�ght <br /> n <br /> Consultantr&-7�c� L ''1 <br /> Geologist -1 0 • m Is- J - <br /> ABOVE-GROUND <br /> COMPLETION CNRLM-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. G=nd Saiaca <br /> Distance to sewer line ot0� <br /> Domestic well on site - (y/n) 1 5 <br /> If yes,location and distance - ft• <br /> SAMPLING /J/ alattad "* <br /> sacdon = <br /> Holding Temperature <br /> Method `- = IWW pack <br /> Screening Method — <br /> it <br /> Tracking Sheet - ( y/ n) <br /> ft. <br /> SPOILS t�- <br /> Storage Method =f) G -5 MATERIALS/DEVELOPMENT <br /> Contamination No� red - (y n <br /> Storage Location/ l' �) ) Casing type 2 ?v C- <br /> Blank 16 ft. Screen 10 fi <br /> Slot size 0.020 <br /> GROUTING Bags cement 2 — _ <br /> _ 1 \p Buckets bentonite 1 <br /> Depth to water . f oO � Bags sand/gravel <br /> Mix Ratios Filter Pack type/se *3 S5 <br /> Installation Me od {-eea- Surge Block: - n) <br /> Quantity Installed Discussed with geologist: - W n) <br /> Type of method <br /> EH 29 29 <br /> Icv-n1v <br />