Laserfiche WebLink
M&ORING WELL INSTALLATION REPORT <br /> Date: 2 43 <br /> CON_ SMUC17ON Well No.: <br /> Premise Address: GU- G`t�n Total Depth S <br /> Screen Length (froth) (to) <br /> Filter Pack (from) R-5 (to) 27- <br /> Well No.: Bentonite (from) 27- (to) <br /> Inspector. Dreg ng typefr (to) <br /> 7 6 5 <br /> Permit No. Auger O.D. D <br /> Completion - Stove pip Christie box (circle one) J <br /> Drilling Company: s 7 <br /> Wp-�/P7fz A�T — � �P F <br /> Driller- I�rn /��� <br /> CONSTRUCTION Well No.: /� 1'3 <br /> G f Total Depth 8-5 (to) z57 <br /> Consultant Screen Length (from) `� <br /> C{ �, Filter Pack (from) <br /> Geologist /°""" / ��O Bentonite (from) (to) <br /> Grout (from)��(to) <br /> Drilling rig type ' <br /> SPECIAL PERMIT INFO. Auger O.D. �° R <br /> Completion - Stove pipe/ sd o (circle one) c <br /> Distance to sewer line �r <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - � ' <br /> CONSTRUCTION Well No.. /"& <br /> I!v <br /> Total Depth I , (to) a`i v <br /> Screen Length (from) y (to) <br /> Filter Pack (from) <br /> SAMPLJNG Bentonite (from) (to) <br /> GroutGrout (from) <br /> Holding Temperature Drilling ng We <br /> Method Auger O.D. I.D. <br /> Screening Method Completion - Stove pipe/cluisde box (circle one) <br /> Tracking Sheet - ( y/ n) <br /> Tw <br /> SPOM re l( <br /> S MATERIALS/DEVELOPMENT <br /> Storage Method � 4 t't-`''°ems (/ �y�( U <br /> y„ S <br /> Contamination Noted • y n 40 <br /> om , �A Casing type <br /> Storage Location Blank -2,11 Z ft Screen ;Lc) K• <br /> Slot size �Z <br /> Bags cement <br /> GROUTINGBuckets bentonite 2 6i ado RRA <br /> i <br /> Depth to water q16 Bags sand/gravel I b11 — <br /> Mix Ratios I i .3� Filter Pack type/size l S <br /> Installation Method ` 1 ✓.Y Surge Block: - ( y/ n <br /> Quantity Installed 100 Discussed with geologist: - (y/0) <br /> Type of method <br /> EH 29 29 <br />