Laserfiche WebLink
MONITORING WELL INSTALLATION REPOni <br /> Date: CONSTRUCTION <br /> Premise Address:—,2-.-.X-/q /Ii- Ul��(/� Total Depth 75 <br /> Screen Length (from) �` (to) <br /> Well No.: '/ Filter Pack (from) S (to) (a 9 <br /> Bentonite (from) (to) (v 5 <br /> Inspector: Grout (from) 5 (to) <br /> Drilling rig type <br /> Permit No. �� j�Jl1`� Auger O.D. 8 I.D. ¢ <br /> Drilling Company: <br /> � Completion - Stove pipe/christie box (circle one) <br /> Driller: Z casing <br /> height <br /> Consultant � + <br /> Geologist •� T <br /> /180VE-GROUND <br /> COMPLET{ON CHAfSTY-80X <br /> OMPLEMN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> 7 � f /od grout <br /> Distance to sewer line <br /> Domestic well on site -(1�7 n ) '1 ft <br /> If yes, location and distance - V <br /> p <br /> SAMPLING t�ctted = c <br /> Holding Temperature 11 <br /> VAYSI= P <br /> ack <br /> Method <br /> Screening Method <br /> Tracking Sheet - n ) L <br /> j <br /> ft. — ft. <br /> SPOILS <br /> Storage Method �` � " ��j° MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) <br /> Storage Location 57GLJ Casing type 2 1( <br /> S C-k 4e Ale <br /> Blank ft. Screen S ft. <br /> Slot size 001. <br /> GROUTING Bags cement A-te- 7 7`5 <br /> Buckets bentonite ?-,r—;�0 <br /> Depth to water Bags sand/gravel -Z <br /> Mix Ratios j�3 .Lln oz VAC�i t/ y1��o�i Filter Pack type/size Z <br /> Installation Method ages d Surge Block: - (y <br /> Quantity Installed = /SO Discussed with geologist: - (y <br /> Type of method <br /> EH 29 29 <br /> �� U� 4-5, / <br />