Laserfiche WebLink
t <br /> . _ <br /> aor <br /> MONITORING WI'sI,I. - Sall. BORING <br /> INSI' IATION REPORT <br /> Date: _CONSTRUCTION <br /> ,I <br /> Premise Address: <br /> Monitoring Well #— <br /> t J 7 Total Depth <br /> Site Code: <br /> Screen Length (from) <br /> r (1°)--a--- <br /> Permit Number(s): Filter Pack ' (from) (1O) <br /> Bentonite it (from) (to) <br /> i. Inspector: Grout (from)— (to <br /> Depth to Water <br /> S 6Z <br /> Drilling Corn{rany: Auger O.D.' VL- Slot Size <br /> Drillcrc Casing'lypc <br /> Filter Pack'IType/Sbc <br /> Firm: 5 Completion - Stove p <br /> Consulting ip / Chr(slfe box <br /> + _._ Surge Block: - Sy/ nom. <br /> E' GeologisC <br /> Ci <br /> CONST O <br /> Sam linN !� <br /> Method of Storage: Monitoring Well # , <br /> Screening Method: Total Depth Z. <br /> (to <br /> Screen Length (tram) (to) <br /> Spoils Filter Pack (from) <br /> Storage Method incl Location: Bentonite!" (from) 1/ (to=_ <br /> a <br /> Grout ii (from)—? 26 / (1O) <br /> 1r, - — Depth to Water , <br /> Auger O.D. L JFr SI t Size <br />( MixI inE /_ - C (/Q�� Casing Typc j <br /> Mix Ratios: t',L��L_— +K�— Filter Pack Type/Siz <br /> Instnllntion Mct x' Completion - Stove pip / Christie box <br /> Quantity: Surge Bliick: • (Y/n) <br /> t <br /> CONSTR .;;'i'ION CONSTRUCTION - <br /> Soil Boring # total Depth Monitoring Well # <br /> f Depth to Water Total Depth , <br /> Method of Destruction Screen Length (from) (lo) I <br /> Filter Pack (from) (t°) <br /> Bentonite' (from) R°) { <br /> Soil Boring # Total Depth Grout ` (from) (t()) i <br /> Depth to Water Depth to',Water <br /> Method of Destruction Auger O.D. <br /> L�L <br /> Casing TypeSlot Size <br /> Filter Pack Type/Size <br /> r. SoilBoring # - Total Depth--- completion - Stove pipe J Christie box <br /> Depth to Water Surge Block: - (y / n) <br /> Method of Destruction <br /> Soil Boring # fatal Depth— <br /> Depth <br /> epth Depth to Water ` VW <br /> Method of Destruction <br /> - <br /> !� <br /> a <br />