Laserfiche WebLink
NITORING WELL INSTALLATION REF <br /> Date: d/IZ J W CONSTRUCTION <br /> Premise Address: Total Depth <br /> Screen Length (from) l (to) C <br /> Well No.: Mw ZQ Filter Pack (from) it (to) — <br /> Bentonite (from) (to) 2_ ' <br /> Inspector: _ 6Ab/1y GUr'IaICti . Grout (from) Sar'i2:ft.tG (to) <br /> Drilling rig type J51< R) <br /> Permit No. 5a/94--in r 3 Auger O.D. I-D. V,zt <br /> Completion tove pipe cluistie box (circle one) <br /> Drilling Company: W00 okW Wet Lye It n <br /> Driller: 3�t (0tu{'yy 41`1,10L n0'— casing <br /> ��� height <br /> Consultant <br /> Geologist <br /> ABOVE-GACUND <br /> CCWLETICN CHAIS?Y 80X <br /> C 0MPt—ETICN <br /> SPECIAL PERMIT INFO. 7 Ground Surfaca <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) T fto <br /> If yes, location and distance - ft- <br /> ft. _ <br /> is O <br /> SAMPLING y�fj/50r c <br /> Holding Temperature <br /> Method !9k (a14 <br /> Screening Method <br /> Tracking Sheet - ( y/ n ) <br /> fie � ita <br /> SPOILS <br /> Storage Method OKy)n MATERIALS[DEVEI.OPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location or�jT}C Casing type 604440 P/C <br /> Blank -t JM;�F Screen ft. <br /> Slot size .OZ Num <br /> GROUTING Bags cement j <br /> Buckets bentonite J'0)6• <br /> Depth to water 3, I Bags sand/gravel_ <br /> Mix Ratios -%-410 N_ �97/ � Filter Pack type/size0,1 — <br /> Installation Method PVMpcA. Surge Block: - ( y^ ?_ <br /> Quantity Installed_ Discussed with geo/log�ist: (�/ n ) <br /> Type of method <br /> EH 29 29 <br />