Laserfiche WebLink
' MONITORING WELL INSTALLATION REP <br /> ZIA <br /> Date: (/`/ V ► CONSTRUCTION <br /> Premise Address: t l YY[. � Total Depth 4 fzW AP A <br /> Screen Length (from) 31 (to) Zt <br /> Well No.: "6-I/J Filter Pack (from) 34 (to) ZO <br /> �r��' Bentonite (from) 2.o (to) LT., <br /> l�r/U Grout (from) ti%t (to) m' <br /> Drilling rig type <br /> Permit No. Auger O.D. : " I.D. li .'1O i <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: (jp,N AA& casing <br /> T height <br /> r <br /> FV <br /> I <br /> Consultant <br /> Geologist IJ <br /> 6 <br /> ABOVE-GACUND CNAiSTY X <br /> COMPt.ETCN CN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line <br /> grout <br /> Domestic well on site - ( y/ ) it. <br /> If yes, location and distance ft. <br /> SAMPLING -'` <br /> tlorai <br /> Q saccn <br /> Holding Temperature N <br /> Method �a _- gavel etc <br /> Screening Method _ <br /> Tracking Sheet n ) <br /> v =. <br /> ft. ft. <br /> SPOILS `l � <br /> Storage Method L "' MATERIALS/DEVELOPMENT <br /> Contamination Noted'. (y � t <br /> Storage Location M'i TL Casing type /'-1r kA <br /> Blankft. Screen <br /> Slot size , <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags san gravel <br /> Mix Ratios Filter ck type/size <br /> Installation Method Q,EIM Surge Block: - (y/ i <br /> Quantity Installed Discussed with geolo i t: - / n ) <br /> Type of method <br /> EH 29 29 <br />