Laserfiche WebLink
4NTOMM WELL,ITALLATION RENO <br /> Date: <br /> . 12 LU CONSTRUCT70N <br /> Premise : Total Depth <br /> Screen Len <br /> Well No.: fi Length Thom) �„---(t°) <br /> Filter Pack (from)_ n {to) <br /> Bentonite (from). 141 {to) <br /> Inspector: Grout (from) <br /> Permit No. Auger Drilling.D LD. rej <br /> Drilling Company: <br /> S Completion -Stove piCci&e one) <br /> Driller: 1 case inq <br /> T height <br /> Cansulcanc C�,j .., <br /> Geologist QA <br /> ,.. <br /> ABOVE4AOUND CHFiM41OX <br /> COMPLMN COMPUTION <br /> Qeaurd Surfact <br /> Distance to saver line <br /> Domestic well on site: (y 1, B- <br /> 1f yes,location and distance- 49 <br /> 5 0 .. .,..ft. �. <br /> Io ..emsV. ,=- .: a <br /> SAMPLING 2.0 d ••• <br /> bidding T�nperature036 <br /> 14kthod D = Pack <br /> f � <br /> Sig Method -s <br /> Tracking Sheet - y n) ld `" <br /> . w <br /> SMS240 p <br /> Storage Mstltad LTi W&fiMEVELOPMENd"1' <br /> Contamination Noted• ( n) <br /> Storage Location Casing type <br /> Blank it: Screen <br /> Slot size <br /> GROLMNG_ Bags cement . <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack typesize <br /> Installation Method Surge Black: • (y AY <br /> �I <br /> Quantity installed Discussed with geo`ogist: - n) <br /> Type of method <br /> EH 29 29 <br /> P � <br />