Laserfiche WebLink
.._.jNITORING WELL INSTALLATION REPOI.-_., <br /> Date: JL) nG 2 Z 2-6e '7 CONSTRUCTION r <br /> Premise Address: Z 2 2 4 !?ZG n-filet.. ✓c.Dr . Total Depth 3(� 4 <br /> Screen Length (from) _146 _(to) 10 <br /> Well No.: /V11A1-S �. - -F <br /> Filter Pack (from) 30 (to) 8 <br /> 'T— Bentonite (from) (to) <br /> Inspector. y r Grout (from) G (to),SU f Fa Ge <br /> Drilling rig type 0 1) 4L <br /> Permit No. Auger O.D. b' `' Z <br /> Completion - Stove pipe/ istie box (circle one) <br /> Drilling Company:_ � � ir <br /> Driller: kecasIng <br /> ASS;.St J • 1�G e� , J4Joh- Ne �7_ height <br /> Consultant /�dt1 ,CGce Ehfl�`�o-nr _qV <br /> Geologist L� <br /> ABOVE-GACUND <br /> COA�L.�TfON CNAIST'-c30X <br /> COMPLETICN <br /> SPECIAL PERMIT INFO. Ground Sumacs <br /> Distance to sewer line yLrJ]l-r, <br /> grout <br /> Domestic well on site - ( y/Q) �ft. <br /> If yes, location and distance - ft. <br /> �LQ_ft. <br /> ^a 0 <br /> YA <br /> P <br /> Z <br /> SAMPLING alora.i _ C <br /> aac.1cn <br /> Holding Temperature <br /> Method 1 <br /> Screening Method 1 .0 <br /> Tracking Sheet - (�r n ) <br /> 30 ft. <br /> SPOILS <br /> Storage Method �$-��/�h, �Y✓.W-c js.� MATERIALS/DEVELOPMENT <br /> Contamination Noted - y/ n ) <br /> Storage Location Casing type---,7. jnA 506d&j'1& 40 <br /> Blank 10 ft. Screen .20 ft. <br /> 3� i n. Slot size :0.2 D <br /> GROUTING f � r Bags cement - e1-1 <br /> �bO J ��7 r, n2 le$ Buckets bentonite '31,g'r ` ' <br /> Depth to water f i h'!W , G 7 Bags sand/gravel D <br /> Mix Ratios 3 t?j-lh ^� /��of�zDFilter Pack type/size 3 _ <br /> Installation Method <br /> V. Surge Block: - ( y/0 <br /> Quantity Installed Discussed with geologist: - ( y/on <br /> Cdt4X,4r Type of method nl <br /> EH 29 29 /'Ov ' 'o-n-4-we %it <br />