Laserfiche WebLink
MONITORING WELL INSTALLATION REPCar+1 <br /> Date: f CONSTRUCTION <br /> Premise Address: dao Total Depth -2 <br /> q 5' Screen Length (from) -- '2_13 (to) <br /> Well No.: -j 5 s�'"�'� Filter Pack (from) - 2 S (to) - �7.. <br /> f� cS <br /> Bentonite (from) ��(to) <br /> Inspector: ` 1 `l, '7 Grout (from) - -(to)_7i57_ <br /> to)� <br /> _ C �� Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> �r t Ct 1 J Completion - Stove pipe/christie box (circle one) <br /> Consultant t <br /> Geologist t i Z wl 5t-\_l skk-up <br /> T <br /> SPECIAL PERMIT INFO. <br /> /ABOVE-GROUND CHRISTY-eOX <br /> �-q <br /> Distance to sewer line 4C) COMPLETION COMPLETION <br /> Domestic well on site - ( y '�Surfacen <br /> If yes, location and distance - grout <br /> ft. <br /> f ft. <br /> � tt. <br /> SAMPLING = p <br /> c <br /> Holding Temperature n Wood <br /> — <br /> Method C.-P G1•--e. s�clan X•' -� 2 <br /> Screening Method v1ovZQ- cv. S 4 u = gmvgi Pack <br /> Tracking Sheet n) <br /> 7-6 <br /> SPOILS <br /> Storage Method -• 12,SL MATERIALS/DEVELOPMENT <br /> Contamination Notes - n ) <br /> Storage Location 9- _S t4-C_ _ Casing type PVC SSG, <br /> Blank �, _ft. Screen Z?t] ft. <br /> Slot size C>10 <br /> Bags cement I VL4 _ <br /> GROUTING Buckets bentonite <br /> 1 Bags sand/gravel rte. <br /> Depth to water _ Filter Pack type/size -2- <br /> Mix Ratios -2,-4 bas ?>39-i Surge Block: - (y/C) <br /> Installation Method Discussed with geologist: - n <br /> Quantity Installed n a.. _„_ Type of method <br />