Laserfiche WebLink
*MONITORING WELL INSTALLATION REPT <br /> Date: S I - U-C) CONSTRUCTION <br /> Premise Address: Total Depth <br /> Well No.: U �?— Screen Length (from) 1>,b (to) l/-b <br /> Filter Pack (from) /a'0 (to) /D'R <br /> Bentonite (from) (to) 16 h <br /> Inspector: Q/ R Grout (from)_/o <br /> (to) n <br /> Drilling rig type 11n„J Sfe,,tiCrIVA . <br /> Permit No, Auger O.D. I.D. <br /> Completion - Stove pipe tsGe boy (circle one) <br /> Drilling Company- 6 <br /> Driller: V Obv-� � casing <br /> height <br /> Consultant_ <br /> ^^ 11II � T <br /> Geologist <br /> N" <br /> 1 \ann.Al <br /> AS&E-GROUND Ct4itSTY 80X <br /> CONFLETION <br /> SPECIAL PERMIT INFO. Grourd Sexy <br /> COMPLETION <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) O <br /> If yes, location and distance - L-Jt. <br /> 0 <br /> 1 <br /> SAMPLING o <br /> dorsi = <br /> Holding Temperature = <br /> Method gravel Pack <br /> Method +" _ <br /> Tracking Sheet - (y/ n ) <br /> l ft. _ ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( n ) <br /> Storage Location �1 r✓u ✓ en Casing type 'p- / J <br /> Blank1 I O fr. Screen 1 ft, <br /> GSlot size <br /> ROUTING <br /> Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ tt ) <br /> Quantity Installed Discussed with geologist: • (y/ n ) <br /> EH 29 29 Type of method <br />