Laserfiche WebLink
WONITORING WELL INSTALLATION REPIIRT <br /> Date: �1�gldoll CONSTRUCTION <br /> Premise Address: 0'e1-1 LA— H.lzkk­�' /M >t Total Depth <br /> ``.. Screen Length om) (to) <br /> Well No.: Filter Pack (from)—(to)— <br /> Bentonite <br /> from) (to)Bentonite (from)___(to) <br /> Inspector: Grout (from) (to) <br /> S 3 Auger <br /> rig type <br /> Permit No. geer O.D. I.D. <br /> nn� __ Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:�R! <br /> Driller: --zr�� casing <br /> T height <br /> Consultant eyi21A — <br /> Geologist " <br /> ABOVE-GROUND C-LgZTY4= <br /> COWLEf10N COMPLETON <br /> SPECIAL PERMIT INFO. Ground Su lace <br /> Distance to sewer line 14,-/L <br /> _. groin <br /> Domestic well on site - (y ) ft <br /> If yes, location and distance - ft <br /> ft. <br /> = m <br /> — o <br /> — m <br /> 0 <br /> SAMPLING dotted = B <br /> Holding Tempera e <br /> Method—L4M G- _ <br /> Screening Meth9d = <br /> Tracking Sheet - / n ) <br /> SPOILS <br /> Storage MethodMATERIALS EVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets ben nice <br /> Depth to water Bags sand/ vel <br /> Mix Ratios Filter Pa type/size <br /> Installation Method Surge Bl ck: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />