Laserfiche WebLink
MONITORING WELL INSTALLATION o.. PORT <br /> d <br />'i <br /> Date : zu C, Ss CONSTRUCTION <br /> Premise Address : :bATotal Depth S 5 <br /> Screen Length (from) dJ v (to) rS <br /> Well No. : �Nk Ivy ( Cl Filter Pack (from) kF K (to) 5 <br /> Bentonite (from) 5 rf (to) 38 <br /> Inspector: ho%Aev�o Grout (from) (to) <br /> _ Drilling rig type <br /> Permit No. . 3 S Z Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: T a.2 <br /> Driller:_ tid S casing <br /> height <br /> Consultant <br /> Geologist ZhA ®.Gkrd!ioo� 1 � I II Li +fl�i <br /> ABOVE-GROUND <br /> COMPLETION CFfRIMoBOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground SLOws <br /> Distance to sewer line "Out <br /> Domestic well on site - ( y / <br /> If yes, location and dist <br /> n. <br /> n. <br /> SAMPLING = <br /> Honed Ve = 8 <br /> sarion <br /> Holding Temperature <br /> Method C ' % 6n ✓ sC "Aw . — V" I)4Pack <br /> Screening MethodPl D — <br /> Tracking Sheet - a' n ) = <br /> n. = n. <br /> SPOILS <br /> Storage Method h,n MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y AD <br /> Storage Location Casing type 2 " Ovo Sok `(O <br /> Blanktl ft. Screen' ft. <br /> Slot size 2 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water nay G Bags sand/gravel <br /> Mix Ratios 5 (n Filter Pack type/size 21 V2. 4t� <br /> Installation Method_,2y` . �oyt Surge Block: - ( y / n ) ' — <br /> Quantity Installed Discussed with geologist: - ( y / n ) <br /> Type of method <br /> EH 29 29 <br />