Laserfiche WebLink
MONITORING WELL INSTALLATION REF-. eT <br /> Dare: L V / CONSTRUCCION <br /> ?remise Address: 6 I ld Total Depth <br /> Screen Length (from) (to) <br /> Well No.: PSI G./ 1 . Z i 3}�� T� -7 Filter Pack (from) (to) <br /> Bentonire (from) Cto) <br /> Inspector. 1�<mA Grout (from) (to) <br /> 7 'rq Drilling rig type <br /> Permit No.M 11�x/I j L . =�I I IW,,, 3 T= y Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company. <br /> D1z3ter b i)m,�bS casing <br /> height <br /> Consultant 1/✓Ir4fh <br /> ABCVE-GRCtJND Ct-RlS^!-oOX <br /> cc&v CN <br /> C'\NP'�'TCN <br /> SPECIAL PERMIT INFO. C O nd Sul ' A <br /> r <br /> 7raa <br /> Distance to sewer line <br /> Domestic well on site - ( y <br /> If yes, location and distance - L <br /> 73 <br /> s <br /> a <br /> SAMPLING <br /> �d •iC:Cn = � <br /> Holding Temperatur <br /> Method Ilr <br /> Screening Method = <br /> Tracking Sheer - n ) <br /> Q � <br /> [Ila <br /> Storage Method�Q �xJ� W MATERIALS/DEVELOPMENT <br /> Contamination Nored - ( / ) y p <br /> Storage Location Casing type n2 Y <br /> Blank — I ft. Seen IT- <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water �3 �J Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - C y/ n ) <br /> Quantity Installed Discussed with geologist- - (y <br /> Type of method <br /> EH 29 29 <br />