Laserfiche WebLink
ap NITORING WELL INSTALLATION REPr'ib <br /> Date: � I�d� <br /> �AlCONSTRUCTIONPremise Address: ���« �`f ��y,.7t Total Depth <br /> 330 Screen Length (from) <br /> Well No.: Filter Pack (from) (to) <br /> Bentonite (from) (to) U <br /> Inspector: /� Grout <br /> (from (to) <br /> Drilling rig e <br /> Permit No. Auger O.D. I.D. <br /> a <br /> Drilling Company: )jC"C�/t,cs,� Completion - tove pipe/christie la6x (circle one) <br /> Driller: S 4AAI>-- <br /> casing <br /> Consultantheight. <br /> Geologist= �ujyk,li�� .« <br /> ABOVE-GROUND <br /> COMPLETION CIHRZ'7Y-BOX <br /> SPECIAL PERMIT INFO. COMPLEnON <br /> Ground Sux <br /> i4 �._.��� <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - b n, <br /> ftLU - ft• <br /> = m <br /> _ <br /> _ r <br /> SAMPLING — o <br /> slotted — c <br /> wcton <br /> Holding Temperature <br /> Method — gravel pack <br /> Screening Method <br /> Tracking Sheet - (y/ n ) ' <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location Casing type ��– L(I U ✓(��" S <br /> Blank_ Q,,a ft. Screen , <br /> Slot sizer) •01 C) <br /> GROUTING Bags cement <br /> i <br /> Depth to water Buckets bentonite <br /> Bags sand/gravel <br /> Mix Ratios_ . Filter Pack type/size 2 1'1/ <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> EH 29 29 Type of method <br />