Laserfiche WebLink
X ' •. ANITORING WELL INSTALLATION REP46 <br /> Date: 7� 92- A-, I2� �C12 CONSTRUCTION <br /> Premise Address: � � W. L �� Total Depth <br /> ^L Screen Length (from) (to) <br /> Well No.: .��i� . Z i i Filter Pack (from) (to) <br /> ��rr `+ Bentonite (from) (to) <br /> Inspector. K-E'✓GtC, Grout (from) 1 (to) <br /> l ! Drilling rig type <br /> Permit No. Or �d � Auger O.D. ` - ` <br /> 1' Completion - Stove pipe/ uistie boX ( cle one) <br /> Drilling Company: _ <br /> Driller: L'L\'-Q. casing <br /> _ height <br /> Consultant Lt., <br /> Geologist (�,I .1�R��.r I l�e-G 1 _ T <br /> ABCVE-GR0UND Ct4i15TY80X <br /> CCMPLEiICN COMPLEIICN <br /> SPECIAL PERMIT INFO. ^ 1{� Ground Saixa <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n <br /> ft. <br /> If yes, location and distance - <br /> ft. <br /> n. <br /> = m <br /> - o <br /> SAMPLING , dorad <br /> sacicn _ <br /> Holding Temperature gnvd P <br /> Method s'; _ .' <br /> ack <br /> Screening Method <br /> Tracking Sheet - / n ) 'TZ. <br /> ft. <br /> SPOILS <br /> Storage Method 4r f-ue- 4l% MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) a I tt _ <br /> Storage Location Casing type I.tb. �'( o- A <br /> Blank ft. tereen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios T V AZ7, 1 73 "Jim Filter Pack type/size <br /> Installation Method Surge Block: - ( y/ n ) <br /> Quantity Installed 1 ,L Discussed with geologist: - ( y/ n) <br /> Type of method <br /> EH 29 29 <br />