Laserfiche WebLink
i,.IONITORING WELL INSTALLATION REPun f <br /> Date: �9 .� L ?� CONSTRUCTION <br /> qt <br /> Premise Address: -! Al. � Total Depth 166 <br /> Screen Length (from) 75 (to) 6� <br /> Well No.: � Filter Pack (from) 'Re.5 (to) 62, <br /> W5 Bentonite (from) !Q Z -(to)� <br /> Inspector: Grout (from) Civ (to) 0 <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. 4 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:^ <br /> Driller: casing <br /> height <br /> Consultant p <br /> Geologist L 7,•- <br /> ABOVE-GROUND CHRZTY-Box <br /> CONFLETION o <br /> SPECIAL PERMIT INFO. Ground Sur(acs <br /> Distance to sewer line gr <br /> oulh <br /> Domestic well on site - ( y n ft. <br /> If yes, location and distance - ,o �5 ft. <br /> = m <br /> = m <br /> SAMPLING slotud = <br /> sedan — <br /> Holding Temperature = �,rav91 pack <br /> Method = <br /> Screening Method <br /> Tracking Sheet - ( y/ n ) <br /> �.5 <br /> SPOILS DDS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) Z" c d 1 �1`1y <br /> _ PVA <br /> Storage Location Casing type � <br /> Blank 6'5 ft. Screen 10 ft. <br /> Slot size OI o'` <br /> GROUTING Bags cement <br /> Buckets bentonite 1 3 0 <br /> Depth to water " 3 Bags sand/gravel <br /> Mix Ratios 3D St.O- t 70-&-7 r- 1 1) Filter Pack type/size 2,112- <br /> Installation <br /> 12- <br /> Installation Method -�.w--t Surge Block: - (y 4D <br /> Quantity Installe, Discussed with geologist: - (yCn) <br /> Type of method <br /> EH 29 29 <br />