Laserfiche WebLink
r <br /> ONITORING WELL INSTALLATION REPO <br /> Date: CONSTRUCTION <br /> Premise Address: Total Depth <br /> Screen Length (from) (to) <br /> Well No.: Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Driller: casing <br /> Consultant height <br /> Geologist <br /> ABOVE-GFOUND <br /> COMPLETION CHR*TY-BOX <br /> SPECIAL PERMIT INFO. COMPLETION <br /> �•�Cirourd Sudan <br /> Distance to sewer line out <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - <br /> tt ft. <br /> — m <br /> SAMPLING = <br /> slotted — c <br /> section <br /> Holding Temperature — <br /> Method = gravel pack <br /> Screening Method = <br /> Tracking Sheet - ( y/n ) _ <br /> tt. = tt. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type <br /> Blankft. Screen h, <br /> GROUTING Slot size <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/ n ) <br /> Quantity Installed Discussed with geologist: - (y/n ) <br /> EH 29 29 Type of method <br />