Laserfiche WebLink
*MONITORING WELL INSTALLATION REP - <br /> Date-- -,4-1 S _ CONSTRUCTION <br /> Premise Address: a�' `r'i a-.'t Total Depth <br /> Screen Length (from (to) <br /> Well No.: f i ?~ L� Filter Pack (fro (to) <br /> Bentonite (fro ) (to) <br /> Inspector: ^^ _ Grout (from) (to) <br /> Drilling rig type <br /> Permit No. '2 K -- Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> casing <br /> Driller: height <br /> Consultant r ( — 'T <br /> f4- v T <br /> Geologist AIZVE.GROUND <br /> CHA1STY.SOX <br /> COIRLECION COMPLETION <br /> Ground Surface <br /> SPECIAL.PERMIT INFO. <br /> grout <br /> Distance to sewer line ��ft. <br /> Domestic well on site - (y/ n) ft. <br /> if yes, location and distance - rft. <br /> '"s p <br /> fx � <br /> M' p <br /> slotted <br /> S� <br /> section X•: _ <br /> c gM pack <br /> Holding Temperature L <br /> Method r <br /> x. <br /> Screening Method -.h� <br /> Tracking Sheet - {y/ n ) n, <br /> tL <br /> SPOILS <br /> MATERIALSEVELOPMENT <br /> Storage Method <br /> Contamination Noted - {y/ n) casing ti'Pe <br /> Storage Location Blank �ft. S�creen�— fr <br /> Slot size <br /> Bags cement <br /> GROUTINGBuckets bentonite <br /> r- 2 Bags sand/gravel <br /> Depth to water Filter Pack typesize <br /> Mix Ratios Surge Block: - (y/ n ) <br /> Installation Method Discussed with geologist: - (y/ n ) <br /> Quantity Installed 'Type of method <br /> EH 29 29 <br />