Laserfiche WebLink
T' 'ITORING WELL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address: 7' p ✓ y Total Depth ZO <br /> `/„ Screen Length (from) 2D (to). 10 <br /> Well No.: Y—, 3 41,_ 161z, is,/yn;/� Filter Pack (from) 20 (to) 8 <br /> Bentonite (from) S (to) Co <br /> Inspector: Grout (from) (a (to) <br /> Drilling rig type_13-161 <br /> Permit No. �Z �D�( £ gZ �{p3/lG1�r /K� Auger O.D. g'lg " I.D. 3 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company <br /> U casing <br /> Driller. Fr 7 height <br /> ♦ ♦ '� <br /> Consultant �-e <br /> Geologist IRJ � J1:101/E-GRCUND �\ <br /> Crh�?'�1CN CHRISY-3CX <br /> OMPLE i ICN <br /> Cv=nd StSixB <br /> SPECIAL. PERMIT INFO. <br /> grout <br /> Distance to sewer line 7 50 <br /> Domestic well on site - ( y/(9 ft. <br /> If yes, location and distance - AL <br /> $ ft- <br /> — a <br /> o <br /> slotted �: � <br /> SAMPLING sacdon <br /> Holding Temperature '�-� _ Vays,"ack <br /> Method =_ <br /> Screening Method = <br /> Tracking Sheet - ( y/ n ) 2-c) ft. = ft. <br /> SPOILS <br /> Storage Method �S MA 1 cRIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ,, <br /> Storage Location Casing type 2 Z'56 + UXU S� f POS <br /> Blank 11O ft. Screen 10 ft- <br /> Slot size •02- <br /> GROUPING Bags cement 2 <br /> a <br /> Buckets bentonite I/?-- 3� <br /> Depth to water Do Bags sand/gravel � e.� <br /> Mix Ratios eA-9. J- O 1 1- 3�0(�.G Filter Pack type/size lC <br /> Installation Method U Surge Block: - ( y/© <br /> Quantity Installed -� -.vu�G Discussed with geologist: - n ) <br /> Type of method <br />