Laserfiche WebLink
. ( 1 <br /> MONITORING WELL INSTALLATION REP- -T <br /> Dace: 7 FJ CONSTRUCTION <br /> Premise Address: L7 " Total Depth <br /> Steen Length (from) (to) <br /> Well No.: Filter Pack (from)_(to) <br /> L Bentonite (from) (to) <br /> Inspector•. Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger OD. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Drillercas rag <br /> heLghc <br /> rF7171 r <br /> Consultant <br /> Geo c may`-GRWND <br /> CCNV STAN CJMCY 'E 3CX <br /> *AP�?'iCN <br /> SPECIAL PERMIT INFO. <br /> Distance to sewer line t^ <br /> Domestic well on site - ( y/ a ) t. <br /> If yes, location and distance - k <br /> s <br /> a <br /> SAMPLING slonnd = a <br /> Holding Temperature ` C' <br /> Method <br /> Screening Method <br /> Tracking Sheet Sheet - (! / n ) <br /> _LtL <br /> SPOILS � � c,� w c� L" "" MIS.& <br /> Storage Method tiPl �� MATERIALS/DEVELOPMENT <br /> Contamination No et- y n <br /> Storage Location Casingtype l� <br /> Blank fc S¢een � <br /> Slot size <br /> GROUTING Bags cement <br /> / Buckets bentonite <br /> Depth to water Z q:5> Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist - C y/ n) <br /> Type of merhod <br /> EH 29 29 <br />