Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: /0 <br /> CONSTRUCTION <br /> Premise Address: SS S W a6A) 1740k i <br /> Total Depth 98 <br /> Well No.: Screen Length (from)—81 ' (to)) 66 <br /> Filter Pack (from) �—(to) y9. <br /> Inspector: Bentonite ..(from)_ +61 (to) q q I <br /> Grout ` Mom)- :ru 4'?M (to)_ -46 , <br /> Permit No. Drilling rig type Sa n I c. <br /> Auger O.D. I.D. <br /> Drilling Company. ca--'Cade %)rdlf( d I a Completion - Stove pipe stie o (circle one) <br /> Driller:_ I )Orwfr) Y(400er <br /> H TT casing <br /> Consultant ELAI ,s height <br /> Geologist f-0bert CJ LaSKa°y <br /> ABOVE-GROUND <br /> COMPLETION C4'RZrY-8OX <br /> SPECIAL PERMIT INFO. COMPLETION <br /> Ci vend Suixa <br /> Distance to sewer line <br /> Domestic well on site - Qfout <br /> (Y/n) }6 <br /> If yes, location and distance <br /> m <br /> SAMPLING = c 3 <br /> a <br /> alo tted CC <br /> Holding Temperature <br /> Method = VI,W Pack <br /> Screening Method = <br /> Tracking Sheet - (y/n) _ <br /> Lq <br /> SPOILS <br /> Storage Method <br /> Contamination Noted - (Y/nMATERIALS/DEVELOPMENT <br /> ) <br /> Storage Location Casing type 501b. 00 PVC <br /> Blank 83 ft. Screen <br /> GROUTING Slot size 0•U to <br /> Bags cement <br /> Depth to water Buckets bentonite <br /> Mix Ratios Bags sand/gravel <br /> Installation Method Filter Pack type/size <br /> Quantity Installed Surge Block: - (y/n ) <br /> Discussed with geologist: - (y/n ) <br /> EH 29 29 Type of method <br />