Laserfiche WebLink
g <br /> MONITORING WELL INST11I.LATION REPORT <br /> '.k <br /> f; <br /> Date: �• ��' F0 , ` <br /> ONSTRUCTION <br /> Premise Address: A�S55- S ell No. #� <br /> Inspector: otal Depth <br /> creen Length FA4 <br /> ilter Pack Fn �•o'�' „Q Y= o�� <br /> �� <br /> '--� l �� i entonite Pellets���o :,,nn4 <br /> Permit No. -{ rout "f S'ez" <br /> ConsultantcJL 14 •f L Ompletion-Stove pipe/e6ristie bo <br /> Geologist <br /> € uger O.D. <br /> Auger I.D. <br /> SAMPLINQ <br /> Holding Temperature on <br /> sttdo-up <br /> Method ,4 <br /> Screening Method o Vit . ......n, 7WVf <br /> NE-GRCKM CHRIM-BOX <br /> Tracking Sheet (( /n) 00NWLET$0N COMPLETION <br /> r Ground Sudan ..� <br /> SPOILS y! <br /> { grout <br /> Storage Method <br /> Contamination Noted - es no • <br /> Storage Location n• <br /> F - % <br /> - m <br /> SPtCIAL PERMIT INFO.' - <br /> - o <br /> 7 . <br /> Distance to sewer line-.,-" °q �o <br /> a�an <br /> Domestic well on site yes nogmvw,' t <br /> If yea, location & distance <br /> . is — <br /> d ;f = <br /> GROWING ` <br /> i9 MATERIALS USED <br /> Depth- to water j Casing type + ✓C SC// YD <br /> Mix Ratios ; Blank S_ ft. Screen /.fft. <br /> Installation Method ;1; slot O, dZ o '' <br /> Quantity Installed t; Bags cement <br /> f Buckets bentonite 1 <br /> 1 FBags an /gravel <br /> Filter Pack type/size slcvt <br /> F <br />