Laserfiche WebLink
M( 'ORING WELL INSiALI_ATION RE-PORT <br /> Date: �l' CONSTRUCTION <br /> P-en:ise Address: 70D �- '- Total Depth / S <br /> Screen Length, (from) li-S (to) <br /> Well No.: �m(dc �i "`� Fuer Pack (from) IC, S _(to)� <br /> Bentonite (from) G (to) <br /> lnsoector: Com- Grout (from) (to) U <br /> Drilling rig type / <br /> Pemnit No. 12' 3D Z,1 Auger O.D. >�%� I D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> ♦ casing <br /> Ordler 7 I height <br /> 7I ♦ ♦1 <br /> Consultan <br /> Geologist C4-1RZ Ty-3c <br /> Crx:nd Sts'scs <br /> S?Eai —T PERMIT INFO. <br /> grat <br /> Distance to sewer line v� 4 ,v ft. <br /> Domestic well on site - (y la) <br /> If yes, location and distance - �. <br /> 3 <br /> e <br /> 1 <br /> aloud = m <br /> SAMPLING aacian = <br /> Pack <br /> Holding Temperature = <br /> McLhod = <br /> Screening Method = <br /> Tracking Sheet - ( y/ n ) /g,-5,�. ♦ :' _ ♦ n, <br /> SPOILS <br /> Storage Method MA i�RIALS/DEVELOPVLVT - <br /> Contamninadon Noted - (y/Q Casing We <br /> � 2 ,� + t 4o <br /> Storage Location �� rSh I�r11w - ✓ <br /> Blank Screen t ft. <br /> 5 h. <br /> Slot size 101- <br /> - <br /> GROU T iNG Bags cement <br /> Buckets bentonite <br /> Deoti7 to water k Q Bags sand/gravel <br /> I ' Rados Filter Pack type/size l C <br /> Ins:allation Method Surge Block: - ( ;- n ) <br /> Quancty Installed Discussed with geo ogist: - & n ) <br /> Type of method <br />