Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: ZV o CONSTRUCTION <br /> Premise Address: 6 O Z Co• dl byv Total Depth ��1 <br /> Screen Length (from) 60 " (to) 4c, ` <br /> Well No.: INS W Filter Pack (from) 4 i (to) �D ` <br /> Bentonite (from) S6 ' (to) <br /> Inspector: UAN r Grout (from) 2 (to) Ste_ <br /> Drilling rig type <br /> Permit No. S—c) Z- O Auger O.D. I.D. <br /> Drilling Company: Iw\ k-Su-iy-a <br /> Completion - Stove pipe/christie box (circle one) <br /> l� <br /> Driller: �U�fJ\� VV\S_ -C Mcg casing <br /> height <br /> Consultant <br /> Geologist •- <br /> ABOVE-GROUND <br /> CCWPLETION COX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sur wo <br /> Distance to sewer line grout <br /> Domestic well on si y/ n ) <br /> If yes, location distance - ft' <br /> r' 1{, <br /> --��' eft. <br /> = a <br /> SAMPLING = <br /> slotted <br /> soon <br /> Holding Temperature 6 K \-G,\ <br /> _ graviW P <br /> ack <br /> Method 1;, "(.a-a-,:ii <br /> Screening Method <br /> Tracking Sheet - � n ) — <br /> ft. — G ft. <br /> SPOILS <br /> Storage Method 55- <br /> c AtAMATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) <br /> Storage Location Casing type Z eVC— <br /> Blank (oo ft. Screen L6 ft. <br /> Slot size . 02-0 <br /> GROUTING Bags cement I <br /> Buckets bentonite Gvcx- <br /> Depth to water --j?,O Bags sand/gravel <br /> Mix Ratios 1 toc) Rib a/ G Joh rT Filter Pack type/size lMr� <br /> Installation Method Surge Block: - ( y/ n ) <br /> Quantity Installed r�j\30 Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />