Laserfiche WebLink
MONITORING WELL INSTALLATION REPT <br /> Date:4//Y/01 CONSTRUCTION <br /> Premise Address: z�$� b 4 l 02441 (Da JCI I Total Depth <br /> Well No.: LJ y (I Screen Len (from) (to) <br /> Filter Pack (from) l D (to) RI <br /> Bentonite (from) 81 (to) <br /> Inspector. t/���^° Grout (from) -_-(to) <br /> Drilling rig a , I. "I <br /> I.D.Permit No. �"°Z(02-_1 I > <br /> Auger O.D.J� [.D. <br /> Drilling Company:_ ( a <br /> , <PuCompletion - Stove pipe/cluistie box (circle one) <br /> �P <br /> casing <br /> height <br /> height <br /> Consultant_&-Q- <br /> Geologist (�)� \ <br /> ABOVE-GACUND <br /> COMPLETION CHAtSTY-BOX <br /> SPECIAL PERMIT INFO. ,, II Ground gwty.0 CCMPLEMN <br /> Distance to sewer line �1� "S ��ld eb� 0 ..t pr groat <br /> Domestic well on site - y n ) gbs 7 ft. <br /> If yes, location and dis ce - l ft. <br /> ,-ft. <br /> V' O <br /> SAMPLING slow = c <br /> ,G sscicn <br /> Holding Ts iperature - gav�G <br /> Method /?�-. LEI Screening Method ti Tracking Sheet - / ntt. <br /> SPOILS <br /> Storage Method 1N cx M_ ATERIALS/DEVELOPMENT <br /> Contamination Noted . (y/ <br /> Storage Location Casing eG SP/CSIA <br /> Blank_ ft. Screen Lo fr, <br /> Slot size O.O/O <br /> GROUTING Bags cement Zv <br /> i Buckets bentonite 3 <br /> Depth to water �%SQ��16 LZ 6 S Bags sand/gravel /? <br /> Mix Ratios-A Filter Pack type/size 24 Z <br /> Installation Method i Surge Block: - (y/ n ) <br /> Quantity Installed 5-G /_ tiu w ( Discussed with geologist: - ( y/ n) <br /> EH 29 29 Type of method <br />