Laserfiche WebLink
NITORING WELL INSTALLATION REPOR <br /> Date: 3 -q5 CONSTRUCTION <br /> Premise Address: 2-D-0 5• C.P Q Ftr6yI A- Total Depth �1 <br /> Screen Length (from) U b (to) <br /> Well No.: AU3- a Filter Pack (from) (A0 (to) 3 <br /> Bentonite (from) I)s (to) 3'1 <br /> Inspector: 20 CJ r-77� Grout (from)_ -(to) <br /> Drilling rig type w4& <br /> Permit No. O() 533 Auger O.D. �� I.D. 7� fL <br /> Completion - Stove pip is a (circle one) <br /> Drilling Company: ,U i Tt*tet,- O e-L- lndz <br /> Driller: 2.1� Sl ��E casing <br /> —f height <br /> Consultant <br /> Geologist 9--u CL V,-( /�LA-K <br /> ABCVE-GRCUND CHRI TY-aOX <br /> OC&PL_ETICN COMPLEEMN <br /> SPECIAL PERMIT INFO. Ground Salvo <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - ( y/ n ) ]__ft, <br /> If yes, location and distance - ft. <br /> ft. .�.— <br /> — o <br /> _ a <br /> SAMPLING :lotted = c <br /> Becton — <br /> Holding Temperature �J <br /> ,r <br /> - _ avel pack <br /> Method <br /> Screening Method --1� - 7A{,��oS� QQm <br /> Tracking Sheet - n <br /> n- <br /> SPOILS L <br /> Storage Method �� 1����,�1hlla )�1� Ca1X1 1 �0 0 MATERIALS/DEVELOPMENT <br /> Contamination Noted " y n ) �,r <br /> Storage Location 1) Casing type <br /> Blank 4) ft. Screen 2 <br /> S � Slot size n D'L)C' <br /> GROUTING 51�' ags cement Ax h <br /> '��// I uckets ntonite —ID' <br /> Depth to water �- B gs san gravel g <br /> Mix Ratios (!'�{p N'F. <br /> er ack type/ ize 3 <br /> Installation Method TR4'-TAMq, c` MA;b CIML , S ge Block: -t f� -n ) <br /> Quantity Installed Discussed with geologist: (�/ n ) <br /> Type of method Jx1 <br /> EH 29 29 <br />