Laserfiche WebLink
\...oNITORING WELL INSTALLATION REPOI,...w <br /> -TD .S��c^-� �w - <br /> E GtJ/D/ - J r;//tel 'r A 7 P gv �a <br /> �/v/o1 - Gravt��C 7 �Z�o? ad.ye <br /> Date:7/LA7d- 12— d7 CONSTRUCTION -�-h-c r �.} '444,24,x--lv4J <br /> Premise Address:— 1.na» ''y !ri Total Depth S <br /> Screen Length (from) .S'� (to) S-5 <br /> Well No.: FLy Jd Filter Pack (from) 9 (to) S� <br /> 4r Bentonite (from) 5- (to) 33 <br /> Inspector. _ V)-&k-s', Me, a Grout (from) 3 (to) 2- <br /> Drilling <br /> Drilling rig type 16 K- 8 <br /> Permit No._ I>D S b g G Z Auger O.D. S!1 n A4, I.D. 7 5S ;n 1/4�e r <br /> Completion - Stove pipe%utsde box circle one) <br /> Drilling Company: y �' f i ika <br /> Driller: rr'I'A" z Ra m i rez casing <br /> /4Sjfsf' 'OlvP . a�eji- Juan Fraae-, T height <br /> Consultant Gt�e �n� nip `T �, n ) r S�-�yl�,• <br /> Geologist Oe G A r2 au L6 -- <br /> ABOYE-GACUND <br /> COMPLETIONVN <br /> SPECIAL PERMIT INFO. Ground SV1W* <br /> Distance to sewer line 5 ��7l�' -�`�'1't� So o-k flf 0"t <br /> Domestic well on site - (y 33 ft, <br /> If yes, location and distance - ft- ' <br /> ft. <br /> IV ea- P s 5V' 4-, �ry3�3 ' 4;, ;�: Zi <br /> SAMPLING <br /> 4-r01Gyr.4 J et <br /> y socicn <br /> Holding Temperature At A _ <br /> Method N A. �Y�Pack <br /> z:: <br /> Screening Method Al A <br /> Tracking Sheet - (y/ n ) tV A __ <br /> SPOILS4- -k S�s� <br /> S6�-ell �� 14 S; rt <br /> Storage Method Jas- `�d n dry Ins 114 33 St ATER1ALSfDEVELOPMENT <br /> Contamination Noted - /n ) 3 3-2 5 ren!eA <br /> Storage Location /lyi.S'� 2, c)O'aj Casing type <br /> Blank SS' ft. Screen Z ft. <br /> Slot size 0 <br /> GROUTING Bags cement - fl L L� <br /> Buckets bentonite - 1 SD-Ra v l v� <br /> Depth to water IDYLA Bags sand/gravel a /0-'-.5 <br /> Mix Ratios 1 b r -- b " S S ��LJ/n� Filter Pack type/size - .� <br /> Installation Method Q rrot' Hz,,a Surge Block: - (y/(2n) <br /> Quantity Installed O-Yl� ./�(fh Discussed with geologist: - ((��n) <br /> EH 29 29 (j ro 0� YVL _ .e i VL <br /> h� v`,C�C Type of mcdiod '��C(lI <br /> � 7 dvurps �q/G(hi) i,✓,e4l V t� ins ;fes. 001 s . - t-2L"fi <br /> I e44"-p- -�ra L a"!(,dtaA �'o e, <br /> �Cr c� Otru'VO w i 1/ t off- i vL. -t' I 'h <br />