Laserfiche WebLink
I '_`NITORING WELL INSTALLATION REPOR"` <br /> Date: ��2-�I� _ CONSTRUCTION <br /> Premise Address: bO Total Depth /� -_ <br /> Screen Length (from) 7 (to) <br /> Well NoP z Filter Pack (from) 7 (to) �a <br /> Bentonite (from) /_ 7_ (to) o <br /> Inspector: Grout (from) l_y (to) <br /> q Drilling rig7De /./- <- 24� <br /> Permit No. / Auger O.D. `7:�/y I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Consultant <br /> Geologists itk*-op <br /> SPECIAL PERMIT INFO. AiB+ -GSCUND <br /> CaMR�ETfON CHRiSTY-$OX <br /> Distance to sewer line i(,c�Z� _ parr <br /> Domestic well on site - (y n' Ground <br /> S Ao' <br /> 1�yes, location and distanc grout <br /> _L., n rt. <br /> SAMPLING o <br /> 6V �Q E <br /> Holding Temperature �= _ S <br /> Method 1 uil/J 'tea" — <br /> Screening Method gravel pack <br /> Tracking Sheet n) _ <br /> SPOILS <br /> Storage Method 4'. - �� MATERIALS/DEVELOPMENT <br /> Contamination Ootes - ((Ori „ <br /> Storage Location 6o. S.-t)tf- Casing type P 0 <br /> Blank ft. Screen /S7 ft. <br /> Slot size 1 . 0-4-4> <br /> _ <br /> Bags cement <br /> GROUTING Buckets bentonite Z _ <br /> Bags sand/gravel <br /> Depth to water Filter Pack type/size <br /> Mix Ratios_ Surge Block: - ( y <br /> Installation Method Discussed with geologist: - U/ n ) <br /> Quantity Installed Type of method <br />