Laserfiche WebLink
WONITORING WELL INSTALLATION REI [' <br /> Datel u -1l CONSTRUCTION <br /> Premise <br /> TTe Address: �7S a R.Q�IL 1� L(Lw Total Depth U "� <br /> Screen Length (from)-(to)- <br /> Well <br /> from) (to)Well No.: 1.4 t4 Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector. IL65`�" '����/� Grout (from)-(to)- <br /> Drilling <br /> from) (to)Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> /� Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: (��,�� P <br /> Driller: casing <br /> //pp he_ght <br /> Consultant /A66 <br /> Geologist ( �,(.t S r <br /> ABCVE-GACUND CHi M-Scx <br /> CO1vFLETION CCMPLEMN <br /> SPECIAL PERMIT INFO. Ground 8uAaa <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) ft. <br /> If yes, location and distance - g <br /> ft. <br /> Y <br /> O <br /> SAMPLING slonad <br /> soa'cn =_ <br /> Holding Temperature <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> K. = M <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n ) Z tl flk� <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size OI <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water v-2 f Bags sand/gravel t <br /> Mix Rados Filter Pack type/size <br /> installation Method Surge Block: -(1/ Ih ) <br /> Quantity Installed Discussed with geologist: - / n ) <br /> Type of method <br /> EH 29 29 <br />