Laserfiche WebLink
MONITORING WELL INSTALLATION REPT <br /> i\-J <br /> Date: lI LsI- 0 CONSTRUCTION <br /> Premise Address: 72 /ZrLCs „f�i(�+ Total Depth <br /> /�y Z� Screen Length (from) (to) <br /> Well No.-_ A't'w Filter Pack (from) (to) <br /> 7 <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> -r,QC41- _ ` 0—� Completion - Stove pipe/christie box (circle one) <br /> Company..- <br /> Driller. <br /> ompany:Driller: casing <br /> height <br /> Consultant <br /> Geologist_ _ �- <br /> ABOVE-GROUND <br /> CONFLETION CHRMIry-sox <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlac. <br /> Distance to sewer line <br /> grout <br /> Domestic well on site - (y/ n) ft. <br /> If yes, location and distance - ft. <br /> ff. <br /> 40 <br /> m <br /> K' C <br /> SAMPLING slatted c <br /> secion <br /> Holding Temperatureadc <br /> VIVO' <br /> Method 'w = P <br /> Screening Method " <br /> Tracking Sheet - (y/ n) `a <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water`-9 1366 Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />