Laserfiche WebLink
-MONITORING WELL INSTALLATION REPORT . <br /> Date: arL� CONSTRUCnON <br /> Premise Address: , .2/-2N• (v�-r ter»r'a e Total Depth .3# , <br /> ;� • Screen Length (from) /3 -�ed(to)�q o <br /> Well No.: _ A �. ^ _ Filter Pack (from) l3. f o) c,�L <br /> Bentonite (from)_- /.z G ip/(to) <br /> Inspector, _ Yj'd r'�-h �a - Grout, (from)— <br /> 'o <br /> from) <br /> Drilling rig type "f3 G1 1! 16 'b 5f) &Glt 1JD <br /> Permit No. 0 3 I"? lO.D.+ /s � - �y�I <br /> Auger ODr,D, so, <br /> ` Completion - Stove pipe box (circle one zea <br /> Drilling Company: .� � � � ) <br /> � <br /> Driller: V- Y `„ D_eYP�i' SCa -o , soo casL <br /> n <br /> q <br /> � S4Ti�gr1o.Phelht <br /> .ConsultantV1 Ra� J <br /> t <br /> Geologist o k•s - 4. ., k. .�► <br /> ABOVE-GRCUND <br /> C0&VLFr;0N �Z`Y-Box <br /> SPECIAL PERMIT TWO. �� `} �- C-Chy t'fICN <br /> .-. G=nd Striae* <br /> Distance to serer line ! �`�.[,�' ' ' • (9=t <br /> Domestic well on site - <br /> If yes, Iocation and distance - �� ` += s` t <br /> SAMPLING <br /> k <br /> r <br /> Holding Temperature ° � t. '� � ' � a` • r: iocicn <br /> Method_ <br /> Screening Method <br /> Tracking Shcet, <br /> SPOILS . <br /> Storage Method cave'y MATERIALS I;UELOPMENT <br /> Contamination Noted - (y <br /> Storage Location S# Casing type_- FVC, SDh 6&& 40 ,21 rt�i1� <br /> A r Blank -Screen' � 5- fr. <br /> GROUTING Slot size D. 42 0r i <br /> -S- ' . Bags cement 2 142- P <br /> L Buckets bentonite 1 - y <br /> Depth to water L} f,¢-,- ;�f 4 + Bags sand/gravel- - p - I <br /> MiX Ratios ;q4//mss)4z 6 Filter Pack type/size 3 tv <br /> installation Method "�Tr - 24� Surge Block: - (y pg Quantity Installed2 b Discussed with eost <br /> Type o"r MC hoa ' ' ( f <br /> EH 29 29. � � �. � , <br /> TY ;��� p 115fec' s �. 4 �';1 .7'z.'I"WorJ• i <br />