Laserfiche WebLink
MONITORING WELL INSTALLATION REPOk� <br /> Date: Z CONSTRUCTION <br /> Premise Address:_, Total Depth /y <br /> Screen Length (from) Jto) 5S <br /> Well No.: Filter Pack (from) (to) 45-3 <br /> Bentonite (from) A-2 (to),5-/ <br /> Inspector: �saz/�� Grout (from) (to) — <br /> Drilling rig type 14 <br /> Permit No. Auger O.D. 2 ,/7- I.D. <br /> Completion - Stove pipe/ irtstie ircle one) <br /> Drilling Company: <br /> Driller: 41-, Gt f casing <br /> height <br /> Consultant <br /> Geologist `d ABOVE-GROUND CHRZT'Y-BOX <br /> COMPLETION COMPLEMN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n) �ft. <br /> If yes, location and distance - �3 ft. <br /> '� <br /> y•• 0 <br /> SAMPLING '- <br /> t(or.0d <br /> G� sorticn <br /> B <br /> Holding Temperature <br /> ack <br /> Method _ �"`�F <br /> Screening Method <br /> Tracking Sheet - (y/ n ) - —_ <br /> it. <br /> SPOILS <br /> Storage Method ( iz��r�e. MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/(fp) /� <br /> Storage Location_ —C Casing type Co,/D ,�L� /-Ze�JUc <br /> Blank ft. Screen /--5— h. <br /> Slot size 0 / 0 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water i� 6 D r Bags sand/gravel <br /> Mix Ratios Filter Pack type/size -&22 <br /> Installation Method Surge Block: - ( y/ rt) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />