Laserfiche WebLink
4 r <br /> MONITORIN"LL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address: O �J_So._ Well No. <br /> Inspector• Q- Total Depth <br /> Screen Length 73 <br /> Filter Pack 73 - .S4/ <br /> Bentonite Pellets <br /> Permit No. - O Grout 'S"^ <br /> Consultant L- �.P.��Ja�� Completion-Stove pip —_ <br /> Geologist AA:AN_ <br /> Auger O.D. /O Y <br /> Auger I.D. <br /> SAMPLING <br /> eatick-up <br /> Holding Temperature'--ZC <br /> Method c1S/h� - 2z ll <br /> I FW <br /> Screening Method <br /> ABOVEGROUND CHRIST-BOX <br /> Tracking Sheet Gyn) COMPLETION COMPLETION <br /> Ground Surface <br /> SPOILS <br /> proal <br /> Storage Method 7✓� b a ^^ �S �n, <br /> Contamination Noted - e no n, <br /> Storage Location s-'7Z- n. <br /> — m <br /> — n <br /> SPECIAL PERMIT INFO. r <br /> o j <br /> / Boded = c <br /> Distance to sewer line fid section '$ <br /> Domestic well on site - yes/( = gravelpack <br /> If yes, location & distance - = <br /> GROUTING <br /> MATERIALS USED: <br /> / !�✓ '/ <br /> Depth to water Casing type <br /> Mix Ratios C. �.-.' Blank ft. Screen / 5 ft. <br /> Installation Method Slot size � - O <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags<sa d gravel <br /> Filter Pack type/size 3 <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />