Laserfiche WebLink
MON. . RING WELL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address : Z 3D PlQ C t 6W Total Depth `� 2 <br /> 2 Screen Length (from) �Z (to) 5 <br /> Well No. : IJ 2 Filter Pack (from) 5'D (eo)�— <br /> Bentonite (from) 52� SD4W) <br /> Inspector: o1A Grout (from) (to) <br /> Drilling rig type <br /> Permit No, q 4D319 Auger O.D. I.D. <br /> LO Completion . Stove pipe/christie box (circle one) <br /> Drilling Company: Ywa)u Jim <br /> Driller: casing <br /> height <br /> Consultant �EWT <br /> Geologist Q41)0 1UAyI.Wl1JLt1. <br /> ABQCHR*7Y-80X <br /> COWMPLETIOND LETX)N CCMPLETICN <br /> SPECIAL PERMIT INFO. Ground Sataca <br /> Distance to sewer line orad <br /> Domestic well on site - ( y / n ) <br /> If yes, location and distance - ft. <br /> de.h. ft. <br /> ,a <br /> SAMPLING = <br /> donad <br /> 40clen = <br /> Holding Temperature <br /> Method — Rava1POCK <br /> Screening Method r <br /> Tracking Sheet - ( y / n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - y / n ) <br /> Storage Location Casing type ur , <br /> Blank to ft. Screen <br /> Slot size . () 2. <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios _ Filter Pack type/size wa 44J <br /> Installation Method Surge Block: • ( y / n ) � U <br /> Quantity Installed Discussed with geologist: - ( y / n ) <br /> Type of method <br /> EH 29 29 <br />