Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: 3 N 9 Ff CONSTRUCTION <br /> Premise Address: ( i N , H4 S2% w Total Depth q/ <br /> Screen Length (from) 4i ' (to)_ ,;al ' <br /> Well No.: /Y7 4^L' v Filter Pack (from) q/' (to) <br /> Bentonite (from) /7 ' (to) ig ' <br /> Inspector: l' _ L2 7� Grour (from) 1171 (to) gaga <br /> Dulling rig type f-1„ //n s5j-T"" <br /> Permit No. ZFF nl 8 7 3s; Auger O.D. _ LD. b " <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: //W <br /> Driller: casing <br /> Consultanr /� AsSC . height <br /> Geologist 7o7rr / ce1✓-G, sem,. uti <br /> ABCVErGRCUND <br /> CrMPLaTION CHR <br /> CCMPIi <br /> SPECIAL PERMIT INFO, Ground 5�'a T <br /> i <br /> Distance to sewer line gr cut <br /> Domestic wQll on site - ( y %®) r / 7 . 8- <br /> If yes, location and distance - <br /> c <br /> SAMPLING doctad = c <br /> an = _ <br /> Holding Temperature jvc�� tea, _ 0oravoi Pack <br /> Method ar -C�+ Sff �oc✓a.y � �> __ .a.��c�� �v+ u•-r.�� . _ <br /> Screening Method <br /> Tracking Sheet - (01 n ) <br /> f/,61tl c 6 L.SEF eu c a e �u . ti w !� �!L = = L[l > }L <br /> SPOILS <br /> Storage Method Sl r� vr� MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) <br /> Storage Location &efl vrr o Gazing type PUG cP If <br /> Blank � _fr. Screen..,,3 0000fr* <br /> Slot size t a1D <br /> GROUTING Bags cement <br /> 3 /dJ78 Buckets bentonite / « <br /> Depth to water �a.3 liiit � / 4 Bags sand/gravel % act <br /> Mix Ratios Sr - S /5li �p+ 2ff Filter Pack type/size 0 <br /> Installation Method -F . � Surge Block: - (V <br /> Quantity Installed Discussed with geologist: - ( n <br /> Ali � ) <br /> Type of method /oaf-- . Caije L' 0 <br /> EH 29 29 <br />