Laserfiche WebLink
%omONITORING WELL INSTALLATION REP01wo) <br /> Date: I7 �[ _ CONSTRUCTION <br /> Premise Address: Y tA ^ f Total Depth :2-5- <br /> 5� l S Screen Length (from) oZ S (to) �I <br /> Well No.: Owl Filter Pack (from) 5- <br /> �_ <br /> Bentonite (from) Z2 (to) <br /> ii- <br /> (to) <br /> Inspector: Grout {fro <br /> G Drilling rig type UU <br /> Permit No. D Auger O.D. 9" I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:-M&C�A <br /> Driller: casing <br /> height <br /> Consultant alm­t� T W1. <br /> Geologist S <br /> ABOVEGROUND <br /> COMPLETION CHS*1'Y-8OX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line ( Qrout <br /> Domestic well on site - (y/ n ) 1 tcl ft. <br /> If yes, location and distance - <br /> t0 <br /> I � O <br /> C <br /> SAMPLING (Yt D a/''k slotted µ. _ <br /> sectiontrj <br /> Holding Temperature - <br /> Method ��P- <br /> Screening Method 32 11D <br /> Tracking Sheet - / n ) <br /> a ft. 2- it. <br /> SPOILS -{} <br /> Storage Method-^A MATERIALS/DEVELOPMENT <br /> Contamination Noted'- / n ) , <br /> Storage Location Casing type <br /> Blank--L3 ft. Screen Z ft. <br /> Slot size • OZ-0 <br /> GROUTING Bags cement <br /> Buckets bentonite S .� <br /> Depth to water Bags sand/gravel /4 <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y n <br /> Quantity Installed f Discussed with geologist - a/ n ) <br /> Type of method <br /> EH 29 29 <br />