Laserfiche WebLink
MONITORINGWELI,INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address/4161 Total Depth <br /> �I,_, Screen Length {from) (to} <br /> Well No.• � Filter Pack (from) (to)�`�r <br /> Ins ecton Bentonite (From) (ro}� <br /> P Grout (from) (to)—� <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company: <br /> Drilleri - <br /> casing. <br /> • .. ,. .,-- --•— �" <br /> Consultant height <br /> n 6ti/ 'F' <br /> Geologist �� <br /> A AYE-GRCUND <br /> COWPL TION CKIRZ Y-aox <br /> GO�APL�'TICN <br /> SPECIAL PERMIT INFO. c�rnc,r�d sutsca <br /> Distance to sever Iine <br /> Domesticwell on site - (y/n) <br /> IFyes, location and distance - It. <br /> :X —_ <br /> .' y.. <br /> SAMPLING <br /> elorei :': C <br /> Holding Temperature ° so-cicn <br /> L .;- <br /> Method "0 - <br /> o <br /> Screening Method ='}' <br /> Tracking Shcet / n } = <br /> SPOILS <br /> Storage Method humvJ MATERJ6j§,LDEVELOPMFNT <br /> Contmination Nated - 62,1 n} <br /> Storage Location Casing type <br /> Blank fr- Screen h• <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water36 Bags sand/graveI <br /> Mix Ratios Filter Pack type/size <br /> 4istallation Method Surge Block: - {y/n ) <br /> Quantity Installed Discussed with geologist: - (y/ n_ ) <br /> Type of method <br /> EH 22 29 <br />