Laserfiche WebLink
7MONITORING WELL INSTALLATION REPOR i <br /> Date: _ IJQ S CONSTRUCTION <br /> Premise Address: 0 �- �/�f, f�e�/�y N p�Q C e. Total Depth <br /> Screen Length (from) 5 (to) <br /> Well No.: M W S Filter Pack (from) 4{e- (to) 2eek <br /> \/ /J Bentonite (from) eel_ (to) zfee�f <br /> Inspector: Y 1 C' I M G ldr+r? e�,4 Grout (from) Z-f<,e• (to) e e- <br /> �— Drilling rig type 2,5- D P <br /> Permit No. S &0 7 8.57 Auger O.D. g_ I.D. +,P4 ' <br /> Completion - Stove pip c 'stie $o (circle one) <br /> Drilling Company: �T►'P.GiA d/1-� 1 U n4 <br /> Driller: f �G2� r casing <br /> !}SSi.r17t I awl Rv9e rs height �j-i 1 <br /> 1GI <br /> Consultant Var,Ca&I G� En I/1'ronrr,e.V�W' Z-' r7T <br /> Geologist / , /M dr>1an •� <br /> + / ABOVE-GROUND CI <br /> -van V <br /> C ( " I arz UevGL COMPLET{ON <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface �'_ <br /> 1 �2'�1 PI D FZecacl i nq grout <br /> Distance to sewer line S_g' _22-783PJrn <br /> Domestic well on site - ( y/On ) 9=ia. SS Z 22.3 ♦ 2- n. <br /> If yes, location and distance - !p, s 1z. v 2zpen 4 ft. <br /> d =_ <br /> 7.E 4,16 _ -a <br /> .21' -25-' O p <br /> m <br /> = r <br /> L — c <br /> SAMPLING Cp f(P�jfeD� So, l�l�j�P�CdGU �lanad _ <br /> ? j !2', 22'hp9 aeon = B <br /> Holding Temperature 4° gravel pack <br /> Method !�—i,� Q elan I�r — <br /> Screening Method #0 Ib = <br /> Tracking Sheet y n ) _— <br /> aS ft• I F <br /> SPOILS <br /> Storage Method - �_ MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) I <br /> Storage Location �7n S,��r Casing type �� 1 n C� S'e.�u)e <br /> Blank 5- ft. Screen 20 ft• <br /> Slot size d 02 U " <br /> GROUTING Bags cement 3// o1^ o 4 7-1 b ,baa ( scl 1,fe <br /> 54 16 b43Buekets bentonite l 1 ala/'Chi s- <br /> Depth to water $ G7 Bags sand/gravel14A% Yc <br /> MixRatios ynQ/le 5t bt)r�k"' —24 lsn r Hz o -Fn /y a f Filter Pack type/size 2� /2 <br /> �t 4�'7-1 b <br /> Installation Method Pe u reef -1"rui.L-�1-1;� )Ovale ba Surge Block: - ( y/ nl <br /> Quantity Installed 1 Da71Y'7.� sial;I Discussed with geologist: - lV n ) <br /> TcJRe•V-� Type of method <br /> EH 29 29 <br />