Laserfiche WebLink
nI NITORING WELL INSTALLATION REPOni <br /> Dater CONSTRUCTION <br /> � l 5 i �- / <br /> Premise Address: TH Total Depth <br /> ��OScreen Length (from) (to) <br /> Well No.: Filter Pack (from) 0 . (to) 2 <br /> Bentonite (from) Z (to) <br /> Grout (from) (to) O <br /> Inspector: <br /> Drilling rig type <br /> Permit No. Rio/'5� Auger O.D. I.D. <br /> 6 Completion - Stove pipe/christie box (circ a one) <br /> Drilling Company: <br /> Driller: T f L casing <br /> � height <br /> Consultant <br /> Geologist `•-g AgpyE.GgpOND <br /> ( � COMPLETION t,HRIPLETICX <br /> .`J11 OMPL CN <br /> SPECIAL PERMIT INFO. S Gr nd Svlacs <br /> 7 grout <br /> Distance to sewer line <br /> Domestic well on site - ( / n ft. <br /> If yes, location and distanc - ` Z ft• <br /> Ij. _ <br /> SAMPLING 1 /�mj�( 36 slotted <br /> �oS ( section = <br /> Holding Temperature = gr"Bt Pa6, <br /> Method91 <br /> Y — <br /> Screening Method V A-/ <br /> Tracking Sheet07n) <br /> SPOILS Q <br /> Storage Method /� /tet MATERIALS/DEVELOPMENT <br /> Contamination Noted - y nZlk P U <br /> Storage LocationSLC BlB type <br /> ft. Screen-1—oft. <br /> Slot size <br /> i <br /> GROUTING Bags cement_ <br /> Buckets bentonite I <br /> Depth to water '41i Bags sand/gravel <br /> Mix Ratios Z� Filter Pack type/size <br /> InstallationMethod Surge Block: -© n ) <br /> Quantity Installed Discussed with geologist: - (yn ) <br /> Type of method <br /> EH 29 29 <br />