Laserfiche WebLink
MONITORING WELL INSTALLATION P'F— ORT <br /> CONSTRUCTION + <br /> Date: S `l/ <br /> Ste/, Total Depth Cto) <br /> Premise Address: lJ ueen Length (from) <br /> � �� / filter Pack (from) / (co) <br /> Well No.• enConite (crom) (to) <br /> Grout (h• m) (to) <br /> Inspector. Drilling rig <br /> 7 Auger O.D. I D' <br /> permit No. �7L7 ' b� Completion - Stove pipe/christie box (cL�cle one) <br /> Drilling Company <br /> .' —•7- casing <br /> Driller: T he;5ht <br /> Consultant �c'_Ac1— ��L <br /> Geologist `'� � 1+�`�=-G��D CI••�:ST1'=�X <br /> OCWLETi0N G,'ujPL 17 ON <br /> ci=rd sulacV <br /> SPECIAL.PERh'4T INFO. t <br /> ; <br /> Distance to sewer line _ f!. <br /> Domestic well on site .- (y/ n) ft. <br /> If yes, location and distance - <br /> O <br /> oC <br /> SAMPLING socicn - <br /> r - <br /> Holding Temp azure = <br /> :i. <br /> Method :r — <br /> Screenin;M od :1 = <br /> Tracking Sh et - (y/ n ) —" n• <br /> SPOILS <br /> MATERI ALSlD�1.0?HENT <br /> Storage Method ci <br /> Contamination Noted - (y/ n) Casing type w f <br /> Storage Locadon Blank ft Screen _ <br /> Slot size 4.0� <br /> Bags cement <br /> GROUTING Buckets bentonite <br /> Bags sand/g, <br /> ravcl <br /> Depth to water f Filter Pack type/size <br /> Miz Ratios n - x Surge Block: - (y <br /> iststallation Method Discussed v4th geo ogist: -r/ n) <br /> Quantity installed Type of method <br /> EH 29 29. <br />