Laserfiche WebLink
MONITORING WELL INSTALLATION REPT <br /> Date: `6 l -2, 1 0 0 11 r CONSTRUCTION ''JJ <br /> Premise Address: Ifo i• Total Depth <br /> Screen Length (from)—(to) <br /> Well No.: w 5 U L Filter Pack (from) 3 (to) !(n/ <br /> Bentonite (from) �_(to) Z t <br /> Inspector: o. t— Grout (from) -0-- (to) a <br /> U d 2 Z g Z c Drilling rig type <br /> Permit No. / Auger O.D. I.D. <br /> Completion - Stove pipe/cltristie box (circle one) <br /> Drilling Company: 6k)p�'f kk-cx , yyt -E- <br /> Driller: 72CAv� casing <br /> height <br /> Consultant <br /> Geologist_ <br /> ABC CND CNA75TY-dCX <br /> COWLETLETION (:CMPI_R1CN <br /> SPECIAL PERMIT INFO. prd Stztan <br /> Distance to server line Ort <br /> Domestic well on site - ( y/ n ) + 7 !t <br /> If yes, location and distance - 3—=— <br /> _fin. tt. <br /> = m <br /> o <br /> SAMPLING <br /> 0 <br /> slorodi — <br /> sacicn — <br /> Holding Temperajure_ _ 1 <br /> ack <br /> -p <br /> Method SnQ. A-1vd <br /> Screening . thod FID' <br /> Tracking Sheet - n ) t/ <br /> Lit tt. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) <br /> Storage Location Casing type y PU <br /> Blank _ft. Screen S fr. <br /> Slot size oz-(D <br /> GROUTING Bags cement <br /> Buckets bentonite -ri <br /> Depth ti water N 2�5 . Z Bags sand/gravel <br /> Mix Ratios Filter Pack type/size d�r Z <br /> Installation Method Surge Block: - fp} / n ) <br /> Quantity Installed Discussed with geologist: - ( y 6 <br /> EH 29 29 Type of method <br /> ` i2'( ` 7 00 MW/c 0 <br />