Laserfiche WebLink
i <br /> MONITORING WELL INSTALLATION REPMrif <br /> I <br /> Date ::5016 CONSTRUCTION <br /> Premise Address : Clzea*` Total Depth <br /> Screen Length (from) !/$ (to) SOS <br /> Well No. : Filter Pack (from) // S (to) 0 � <br /> Bentonite (from) U Z� (to) <br /> Inspector: Grout (from) ( <br /> to) , <br /> C r / Drilling rig type 43 <br /> Permit No. / li0 7 Z Auger O.D. F� LD. <br /> Completion - Stove pipe/christie box (circle one) <br /> i <br /> Drilling Company: 6L2L <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologist <br /> ABOVE-GROUND CHA75TY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO, Ground SuAxs <br /> 1// <br /> Distance to sewer line �-`'� & • grout <br /> Domestic well on site - ( y fnIts <br /> If yes, location and distan e - U Z <br /> SAMPLING Betted = ' c <br /> Holding Temperature T G <br /> Method — viva' Pack <br /> Screening Method = _ <br /> Tracking Sheet - ( y / n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) A ' ^ � � <br /> Storage Location �A�`c \ Casing type Vc <br /> Blank 62.1 ft. Screen ft. <br /> Slot size . U20 ' <br /> GROUTING Bags cement Z?W W" rir <br /> Buckets bentonite / r <br /> Depth to water l� Bags sand/gravel <br /> Mix Ratios Y 3 gy. ek- /f ✓ Filter Pack type/size / Z <br /> Installation Meth dSurge Block: - ( y n ) <br /> Quantity Installed 5 50� Discussed with geo ogist: - ( y n ) <br /> Type of method <br /> EH 29 29 <br />