Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: �/a7/0 <br /> CONSTRUCTION <br /> Premise Address: Total Depth �70 <br /> Well No.: <br /> Screen Length (from) S 6 to 3 0 <br /> Filter Pack <br /> (from) SO (to)� <br /> Inspector: 1t � Bentonite (from) " (to) -t Is <br /> Grout (from) 2_ (to) <br /> Drilling rig type <br /> Pen-nit No. Auger O.D. ,4 Y I.D. <br /> Drilling Company: <br /> Completion - Stove pipe/christie box W le one) <br /> Driller: � .k- <br /> 6casing <br /> / <br /> Consultant '��^--y//� Ll-t, <br /> 1 <br /> Geologist �/a .« T <br /> ABOVE-GROUND <br /> COMPLETION C-R STY-BOX <br /> SPECIAL PERMIT INFO, COMPLETION <br /> Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - L' h <br /> tt tt. <br /> SAMPLING S�t� <br /> y• C <br /> !/ �10itvd C <br /> Holding Teperature T�C ` sac9on a' <br /> _ <br /> Method r:. _ <br /> vivel pack <br /> Screening Method <br /> Tracking Sheet - 3'/ n ) <br /> J. <br /> SPOILS <br /> Storage Method Oti.- MATERIALS/DEVELOPMENT <br /> Contamination Noted - y/n ) <br /> Storage Location_ Casing typerPt%t, '�-kQO <br /> Blank ,7 s ft. Screen-'- <br /> GROUTING <br /> creen 'GROUTING Slot size (' C? <br /> Bags cement_ ``I �`F' 57VC-44 <br /> Depth to water A' Buckets bentonite <br /> Mix Ratios_ Bags sand/gravel <br /> Installation Method Filter Pack type/si <br /> Quantity Installed 'b Surge Block: - f <br /> Discussed with geo gist: - n ) <br /> EH 29 29 Type of method <br />