Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: I 1`'( l CONSTRUCTION <br /> Premise Address: ,OrZ ( A)• Total Depth V <br /> Screen Length (from) (to)� <br /> WellNo.: Yet (w - Filter Pack (from) S-A (to)� <br /> Bentonite (from) ;to) <br /> Inspector. (A -)tnn...-o, k. Grout (from) (to) 3 6 <br /> Drilling rig type <br /> Permit No. Auger O-D. I.D. <br /> Completion-Stove pip ristie boz ircle one) <br /> Drilling Company: _5�=S <br /> Driller. /� L, 1-(-ak v�t 5 c, -- cas ing <br /> V _ he; <br /> ♦� 1 <br /> Consultant C% '�Geologisr4. ,evs-- Wc-4k6G� ABCVE-GACUND �� W-Ti <br /> =&F'—cc7,CN CHR STY-a= <br /> C--I P-E 71 C N <br /> SPECIAL PER-WT INFO. Grund SLeacs <br /> i <br /> Distance to sewer line �°Cn <br /> Domestic well on site - (y/ n) 3 <br /> If yes, location and distance - fL <br /> - z <br /> SAMPLING ted <br /> sa&..cn = — <br /> Holding Temperature <br /> VIV*i Pack <br /> Method 6rcv1 kv � <br /> Screening Method ?VD <br /> Tracking Sheet - n) 1 <br /> 6a� ♦ - ♦ bon. <br /> SPOILS <br /> Storage Method [k�• MAZERIAIS/DEVELOPMENT <br /> Contamination Noted - (y/(D <br /> Storage Locarion l o:� Sri1 �.-t1. 5-1-. ru Casing type PV <br /> b'x s Blank �.�fr• Screen Z.O_ft. <br /> Slot size Z O <br /> GROUTING Bags cement <br /> Buckets bentonite V-A <br /> Depth to water Bags sand/gravel 6-4;2 <br /> Mix Ratios 6- t-1 Filter Pack type/size <br /> Installation Method 1-b e , e�C � � Surge Blocic - (y/ n) <br /> Quantity Installed Discussed with geologist. - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />