Laserfiche WebLink
MONITORING WL.INSTALLATION REPORT <br /> EL <br /> CONSTRUCOON <br /> Date: <br /> �3 g S. � /�' �f �7GTln-- Total Depth 3o (to)?� <br /> Premise Address: Screen Length (from) 3 (to)17` <br /> Filter Pack (from) f/`' (to) / ` /D•, <br /> Well No.: v'A - �G Bentonite (from) /7, <br /> Grout (from) /S' /l) 11 <br /> (to)�S✓� �c-c— <br /> Inspector: ___ V! Drilling rig type <br /> Auger O.D. f7'' I.D. 1{, z S <br /> Permit No. �' 7 3/G 7� Completion - Stove pipe/duistie box (circle one) <br /> Drilling Company: -- - - - <br /> \ casing <br /> Driller: r.-�; he; <br /> h Q paw - J,-1 4f 14a k Q-t&- <br /> Consultant S Y {` <br /> I P f ��� ABC)VE-GRCQNO V—s -aoz <br /> Geologist J Cah�t��TbN CONjPtR10N <br /> Ground Suixs <br /> SPEMI <br /> CIAL PERT INFO. prcut <br /> Distance to sewer line <br /> Domestic well on site - (y <br /> If yes, location and distance - .d 04 ._ <br /> . O <br /> _ O <br /> C <br /> •larnd �% — � <br /> SAMPLING soc�cn <br /> Holding Temperature G ,• — �aY�F� <br /> Method — <br /> 7�TA = <br /> Screenin;Method " = 34 �- <br /> Tracking Sheet - (y <br /> SPOILS t OPMENT <br /> MATERIALS/DEVE <br /> Storage.Method 564 ' ,& 4 <br /> Contamination Noted - (y/©') Casing type <br /> Storage Location______ 6 n Blanker ,d�;' Scree <br /> Slot size bads y��� „fes <br /> Bags cement SO <br /> GROUTINGNole Buckets bentonite <br /> Bags sand/Igravel b <br /> 3 Filter Pack type/size S' <br /> Depth to water <br /> Mix Ratios S I/ Surge Block: - (Y ) n) <br /> Installation M od -p'''er' �'� Discussed with geologist: - <br /> Quantity Installed �' Type of method ��' <br /> EH 29 29 <br />