Laserfiche WebLink
0 <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> i <br /> Premise Address: IGO( TURN?(e( (Zd Total Depth 2 <br /> Screen Length (from) (to) .5 z <br /> Well No.: d-Co 4- O^ Filter Pack (from) 27 (to) 37- <br /> Bentonite <br /> 2Bentonite (from) Z (to) 27 <br /> Inspector: 9aaf Grout (from) y <br /> (to) 2 <br /> Drilling rig type ReT�Rr <br /> Permit No. 5Ro0G4 SUC. Auger O.D. r!3' I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: 4)E4,L A841yibu A'K-A P <br /> Driller: 5&K w517941 casing <br /> height <br /> Consultant�i <br /> Geologist J)AN tEl U f([J'} tVUE V A -- <br /> ABOVE-GROUND Cl�iI5TY-BOX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> � proof <br /> Distance to sewer line t S <br /> Domestic well on site - (y)(2)) 2V (t. <br /> If yes, location and distance - 3U 27 ft. <br /> tt. <br /> — e <br /> — o <br /> — o <br /> SAMPLING abtud _ S <br /> wcdan <br /> Holding Temperature = gravel pads <br /> Method ` <br /> ;rx — <br /> Screening Method _> - <br /> Tracking Sheet - (y/ n ) _= <br /> SPOILS <br /> Storage Method N MATERIALS/DEVELOPMENT <br /> Contamination Noted - (� n ) % P <br /> Storage LocationE2ow r Rmfly& WT Casing type Z ft <br /> Blank 30 ft. Screen <br /> Slot size Mi@ko/bo� <br /> GROUTING Bags cement Co A 44LR s <br /> i Buckets bentonite t k!�:, 13 5 - <br /> Depth to water / 7 Bags sand/gravel 3 RA,,5 - /5'0 as <br /> Mix Ratios 7% f_.at6o v5 9Y cR 5 Cmc�T Filter Pack type/size�3�f� satin <br /> Installation Method ?Rin is fmfP Surge Block: - (y <br /> Quantity Installed__!2!LDiscussed with geologist: - (y LJ) <br /> Type of method <br /> EH 29 29 <br />