Laserfiche WebLink
MONITORING WELL INS'T'ALLATION REPORT <br /> CONST_RUCnON <br /> Date: --------------- <br /> Total Depth <br /> � <br /> Premise Address: <br /> Screen Length (from) (to) <br /> Filter Pack (from) (to) <br /> Well No.: Bentonite (from) (to) <br /> Grout (from) (to) <br /> Inspector: Drilling rig type <br /> Auger O.D. tove e/chri <br /> I.D. <br /> Permit No. Completion - Spipstie box (circle one) <br /> Drilling Company: <br /> casing <br /> Driller: - height <br /> '4 <br /> Consultant ffln <br /> Geologist AiOVE-GRC:UN❑ <br /> CO WP LETCN GpMpL=—MCN <br /> C�rcur�d Sirfxa <br /> SPECIAL PERMIT INFO. <br /> Qrcut <br /> Distance to sewer line <br /> Domestic well on site - (y/ n) It. <br /> if yes, location and distance - ' <br /> :Yw a-r <br /> C <br /> O <br /> SAMPL]NG �lorv,i % <br /> tocscn <br /> Holding Temperature <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> 11F <br /> It t2. <br /> SPOILS <br /> Storage Method MATERIALS/DEVEi OPMF-NT <br /> Contamination Noted - (y/ n ) Casing type <br /> Storage Location Blank ft. Screen <br /> Slot size <br /> �NG Bags <br /> GRcement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Black: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />