Laserfiche WebLink
MONITORING WELL INSTAL.ATION REP � ; <br /> DateJI r 'b ec' 0 5� CONSTRUCTION <br /> Premise Address: 236 I V` CJ o,rl` 'l Total Depth <br /> Screen Length (from) 2::5 _ (to) 47 <br /> (� _ Filter Pack (from) 7Z t -- (to) _ <br /> Well 1�o.: " /^?� - Bentonite (from) 70. r (to):Z <br /> Inspector. /V <<S <br /> Grout (from) (to) <br /> _ __ <br /> Drilling rig type is <br /> Permit No. Auger O.D. tell" I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company-, A0, 1 <br /> Driller: <br /> casing i <br /> I� _ height <br /> Consultant �1 <br /> e ASOY 4ROUNO CHRM7Y480X <br /> COMPLETION COMPLETION <br /> SPECIPIAL PERMIT INFO. GrourdSurfact <br /> groLn i <br /> Dist Ice to sewer line <br /> Domestic well on site - ( y/n) 76 3 ft. <br /> If yes)location and distance - 7Z 2 ft+ <br /> 0 <br /> SAMPLING alouad <br /> Holding Temperature — <br /> ;�>. grave!pads <br /> Method — <br /> Screening Method ':fir? .r <br /> Tracking Sheet - (y/ n ) Q — <br /> Q tL <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) 2 ell <br /> Storage Location Casm9 type <br /> Blank ft. Screen 0 ft. <br /> �+ Slot size <br /> GROUTING Bags cement2z <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> I �.y- Type of method <br /> EH 2929 jOU� `'^'d I�IY <br /> I LS <br /> 1 2, 1 DJ7 <br /> l 'i <br />