Laserfiche WebLink
1VIONITORING WELL INSTALLATION ?O-IfCf <br /> COKSTRUCFION l <br /> Date: D <br /> _f 1.k '" - Total Depth <br /> premise Address: Sween Length (froze) <br /> Filter Pack (from) c7 <br /> Well No.: Bentonite Cfrom) (to) <br /> (from) <br /> Grout 2 (to) ~— <br /> (znspector: Drilling rig type [d7. <br /> Auger O.D. <br /> permit No. Completion - Stove pipe/c'nristie box '.circle one) <br /> Drilling Company. <br /> caging <br /> Driller, he_ghc " T <br /> Consultant <br /> Geologist---- JISCYE�F{IXJNn c�AiS'"i-e30X <br /> lv��="C1 <br /> 0N aoMPL i;� CN <br /> �' �- Crourd 5uf� <br /> SPECIAL PFp1, INFO. grout <br /> Distance to sewer line <br /> Domestic well on site - ( Y/ n ) - r� f <br /> if yes, location and distanCe - <br /> � _ 73 <br /> 4% <br /> a <br /> O <br /> SAMPLING LYC••Cfi <br /> Holding TemperatureA <br /> Method — <br /> Screening Method <br /> Tracking Sheet - ( Y 1 n) fL r _ — K- <br /> k <br /> . i <br /> SPOILS <br /> � 4A.I-ERIALS,T)EvELOpNENT JC <br /> Storage Method {� <br /> i4 Contamination Noted - y/ n) ming type r <br /> Storage Location alb ft S een <br /> Slot size G <br /> :Bags cement <br /> GROUTING Buckets bentonite Z l <br /> I:Bags sand/gtavel <br /> ` Depth to water Filter Pack typ e <br /> Mix Rarios Surge Block: - C y/ n ) <br /> Installation Method Discussed wi logis - , y/ n) <br /> Quantity installed Type of metho <br /> EH 29 29 <br />