Laserfiche WebLink
E�' I <br /> 'F <br /> 1 <br /> T%TONITORING WELL JNST TION REPOn' -- ! <br /> E i `tia <br /> i <br /> E - <br /> Date: 3��l v CONSTRUCTION <br /> Premise Address: 2��5 Total Depth 5 <br /> Screen Length (from) (to) F <br /> Well No.: / __" �w Filter Pack (from) (to) 2- <br /> " • Bentonite (from) .Z (to} <br /> Inspe-tor: Grout (from) 7q, (to) <br /> Drilling rig type 1s <br /> Permit No. �L VD 2 _ Auger O.D. 9 • I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drill 'g Company: �_'`- <br /> Driller: Q� '� A casing <br /> height <br /> 7�/irr <br /> .�onsultant <br /> Y Geologist lad" <br /> ABOVE-GROUND CHRZ'rY 3000NFLETION X <br /> EnON <br /> " SPECIAL PERMIT INFO: `t . •s ate°�. `.' '` ',_ "t , y Ground Surface ' <br /> b `�, C grout <br /> -Distance to'sewer line h <br /> Domestic well on site = (YF'/ n'} 4 <br /> If yes, location and distance <br /> SAMPLING �14 *, alottad <br /> seczon <br /> Hold ing•Tempera,Iure <br /> s"Metho4d _ <br /> *Screening Metliod Hv = <br /> C, ,Tracking Sheet`- n ) <br /> SPOILS ^` '• ;4 .-r " ', cam*• x <br /> Storage Method 1 MATERIALS-MEVELOPMENT <br /> Contamination Note �{ <br /> -.,,,Storage Location \\ ` ' � /�C � Casing Type - <br /> �� ;Blank ft. �'Screen 5 ft. <br /> 4. ' Slot size <br /> ~O <br /> {K.t' r.1.• f a{ .5 <br /> GROUiI'ING i ,. Bags cement 3 a <br /> .z Bucke$ bentonite P/14 41 <br /> Depth to water "3$ irBags sand/gravel IOL <br /> Mix Ratios 9`7 .a�e� =r '30 ' Fiiter Pack type/size Z 6 <br /> Installation Method Surge Block: - (y n <br /> M :Quantity Installed SS-r w Discussed with geologist: - (y <br /> „SF 4 Type of method <br /> EH 29 29 <br /> �j tN- <br /> E <br />