Laserfiche WebLink
Driller: <br />Consultant A-C.10 <br />Geologist <br />SPECIAL PERMIT INFO <br />casing <br />height <br />CHR1STY-8OX • <br />COMPLETION <br />Ground Stxfacs <br />ABOVE-GROUND <br />COMPLETION <br />grout <br />/ • ft. <br />3 ft <br />slotted <br />tecton <br />gravel padt <br />tt <br />MONITORING WELL INSTALLATION REPORT <br />Date: <br />Premise Address: -2,0 -z_ <br />Well No.: ew-iS <br />CONSTRUCTION <br />Total Depth <br />Screen Length (from) LA S (to) ‘, ' <br />Filter Pack (from) 1-t 3 (to) 5- <br />Bentonite (from) 't I (to) t-i 3 / <br />Grout (from) (to) el, <br />Drilling rig type <br />Auger O.D. I.D. <br />Completion - Stove pipe/christie box (circle one) <br />tJ Inspector: <br />Permit No. <br />Drilling Company: <br />Distance to sewer line <br />Domestic well on site - <br />If yes, location an stance - <br />SAMPLING <br />Holding Temperature <br />Method <br />Screening Me <br />Tra eet -(y/n) <br />SPOILS <br />Storage Method (.11,-, rtow-,A; <br />Contamination Noted - ( y ) <br />)(A.( Storage Location iyv. <br />GROUTING <br />Depth to water <br />Mix Ratios <br />Installation Method <br />Quantity Installed <br />EH 29 29 <br />MATERIALS/DEVELOPMENT <br />II <br />Casing type 't f -V <br />Blank 5- ft. Screen 7.-6 ft. <br />Slot size <br />Bags cement <br />Buckets bentonite <br />Bags sand/gravel <br />Filter Pack type/size -4 3 Ors1,04-a-.24.6figvvef <br />Surge Block: - ( y / n ) <br />Discussed with geologist: - ( y / n) <br />Type of method