Laserfiche WebLink
WONITORING WELL INSTALLATION REIS. <br /> /Z- <br /> Date: <br /> zDate: �� Zf/l CONSTRUCTION <br /> Premise Address: /666/ � c� /1J Total Depth <br /> Screen Length (from) (to) <br /> Well No.: Z� Filter Pack (from) (to) 23 <br /> Bentonite (from) 23 (to) J-t <br /> Inspector: L Grout (from) YA <br /> �, p(p ��p 0 'fJ�U Drilling rig type CNt� S <br /> Permit No. Auger O.D. I.D. <br /> .{n� Completion - Stove pipe/christie b (circle one) <br /> Drilling Company: //�G/1L <br /> Driller: casing <br /> height <br /> Consultant <br /> �i`' �/ V7C <br /> T <br /> Geologist/!9!L yued �Lr/Cl^ a�/ ��` - W <br /> ABOVE-GROUND —E <br /> COMPLETION CHRISIY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> 2.o <br /> Distance to sewer line 5.S <br /> Domestic well on site - (y/ n ) 1 ft <br /> If yes, location and distance - <br /> El -7-3 <br /> 1117 <br /> n. <br /> a <br /> = m <br /> — o <br /> _ <br /> SAMPLING slatted = �' <br /> Holding Temperature N/ <br /> ack <br /> Method ` — �P <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> n. = ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Nc d - (y/n ) n <br /> Storage Location Casing type 2i Sck4o PiC- <br /> Blank ZS ft. Screen 10 fr. <br /> Slot size .up�I <br /> GROUTING Bags cement 4 <br /> Buckets bentonite Z Zv <br /> L <br /> Depth to water % ZU Bags sand/gravel LSo't <br /> Mix Ratios `(-$w� w +'J Filter Pack type/size Z IZ <br /> Installation Method &tA& S a- Surge Block: - (y(D <br /> Quantity Installed Discussed with geologist: - (y <br /> Type of method <br /> EH 29 29 <br />