Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: 71'ZA I OSS CONSTRUCTION <br /> �I l <br /> Premise Address: T90`{ Y, . XaCl Total Depth $� <br /> Screen Length (from) G,4n (to) S-0 ' <br /> Well No.: 4A(AJ Filter Pack (from) S$ (to) -F�o t <br /> Bentonite (from) 5,6 (to) oz-W <br /> Inspector: .AA c C^ u Grout (from) Z (to) S6 <br /> Drilling rig type <br /> Permit No. °( 3 Ocir� Auger O.D. I.D. <br /> f - Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: C'n.�C a C�.d <br /> Driller:_ r I'w k CLti casheignght <br /> Consultant 1 (11 pp 2 4h <br /> Geologist <br /> ABOVE-GROUND CHMM-Sox <br /> COWLEf ON COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlaca <br /> Distance to sewer line grout <br /> Domestic well on site - ( n ) <br /> If yes, location and ance - g, <br /> fro M. <br /> Y _ <br /> �i tl <br /> _ O <br /> C � <br /> O <br /> SAMPLING abtted = S <br /> Lt �o ov&�Ywcaon <br /> Holding Temperature gravel pack <br /> Method <br /> Screening Me > <br /> Track' eet - ( y/ n) <br /> _Si(Zft. <br /> SPOILS <br /> Storage Method t3rwv;z-¢ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type -a (n , `60 2 !t <br /> Blank 66 ft. Screen 20 ft. <br /> Slot size_ - C)a n <br /> GROUTING Bags cement <br /> Buckets bentonite l 6r4te& <br /> Depth to water /V Z 5 \ Bags sand/gravelZ <br /> Mix Ratios ft <br /> Filter Pack type/size 2 /z /dc <br /> Installation Methods / �.t� },.w ti Surge Block: - n ) <br /> Quantity Installed Discussed with�ogist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />