Laserfiche WebLink
MONITORING WELL INSTALLATION REPS <br /> f <br /> Date: CONSTRUCTION <br /> ,,� _ � <br /> Premise A dress: � _5, & 6 Total Depth <br /> 3 <br /> E Screen Length (from) :' (to) <br /> Well No.: Filter Pack (from) AD (to) 8 <br /> Bentonite (from) (to) <br /> Inspector: Grout MO ) (to) <br /> Drilling rigtype C� � S <br /> Permit No. Auger O.D. b I.D. f <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company-.— <br /> Driller <br /> ompany:Driller: <br /> casing <br /> F he;ght <br /> Consultant �Ll <br /> �l <br /> Geologist Yl- M <br /> ABOVEGROUND CHRCM-box <br /> COMPLETION COMPLEnON <br /> SPECIAL ZP / T INFO. , Ground&Owt <br /> Distance to sewer line <br /> �sd a Q�aut <br /> Domestic well on site - (y/ <br /> If yes, location and distance - pip ft. <br /> v4 a 1 <br /> SAMPLING <br /> o� J socicn <br /> Holding Tem rature M <br /> Method 97ma Pack <br /> Screening Method Z' _ <br /> Tracking Shcet (y n) 60 <br /> '` `♦ <br /> SPOILS <br /> 4 <br /> Storage Method MATERIALS/DEVELOPMENT , <br /> Contamination Noted - (y/ <br /> Storage Location . e Casing typ , -.- <br /> Blank fr. Screen ft. <br /> • Slot size <br /> GROUTING . Bags cement 0 <br /> Buckets bentonite <br /> Depth to water / �� Bags sand/gravel—IS I f rhAf <br /> Mix Ratios Filter Packtype/ ' e 1 7/ <br /> Installation Method % Surge Block: - n ) <br /> Quantity installed - w Discussed with geologist: - (q/ n ] <br /> Type of method <br /> EH 29 29 _ <br /> / �7 <br />