Laserfiche WebLink
OfONITORING WELL INSTALLATION REP* <br /> Date: 7/7 6 CONSTRUCTION <br /> Premise Address: Pou- &0�_W Total Depth 3o ' 5 <br /> Screen Length (from) (to) <br /> 02 02 Filter Pack (from) (to) <br /> Well No.: j' _ �''� a� Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> he Consultant 7�� <br /> Geologist ABOVE-GROUND <br /> CCNRtSN-80X <br /> OMPLETION <br /> COMPLETION <br /> SPECIAL PERMIT INFO. end Sudwe —+—� <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/ n) �_ft. <br /> If yes, location and distance - ft. <br /> ft. <br /> = a <br /> o <br /> SAMPLING slotted = c <br /> section <br /> Holding Temperature = Vavel pad. <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/n ) <br /> a. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n) //RG <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> i Buckets bentonite <br /> Depth to water �l� �� Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />