Laserfiche WebLink
'*4AONITORING WELL INSTALLATION REP04 <br /> Date: /�c�C �i^ /J / CONSTRUCTION <br /> Premise Address z /b G�� Total Depth 55 <br /> (//may �K 0(68 Screen Length (from) (to) 55 <br /> Well No.: i () Filter Pack (from) (to) SD <br /> Bentonite (from) (to) <br /> Inspector: _ Grout (from) (to) o <br /> �+� Drilling rig type Uu.E 5 <br /> Permit No. Auger O.D. Ir I.D. <br /> Drilling <br /> Completion - Stove pipe/christie box (circle one) <br /> Company: 6""&-o� y-� <br /> Driller: //�pany' � - ZZcasing <br /> Q height <br /> Consultant /�,y�0,1, / T <br /> Geologist [✓7/ T <br /> ABOVE-GROUND <br /> COAFLETION CF4i15iY-BOX <br /> SPECIAL PERMIT INFO. Ground Surtacs <br /> cso gsi�"aD_ + <br /> Distance to sewer line fout <br /> Domestic well on site - ( yQZD <br /> If yes, location and distance - <br /> ft. <br /> SAMPLING <br /> stonedan <br /> Holding Temperature /►te� <br /> Method — g,H°I Pack <br /> Screening Method = ": <br /> Tracking Sheet - ( y/n ) s <br /> 55 ft. E=LJft. <br /> SPOILS ��/ ! <br /> Storage Method [� MATERIALS/DEVELOPMENT <br /> Contamination Notef (y n a.. <br /> Storage Location 6AO4'- A-4 Casing type A ` <br /> Blank 50 ft. Screen 5 ft. <br /> Slot size .02,b <br /> GROUTING Bags cement /5 <br /> / Buckets bentonite <br /> Depth to water 14-11 ` Bags sand/gravel <br /> Mix Ratios 30 qne t SG-�,eto C/f.,�) Filter Pack type/size 3 <br /> Installation=d acs Surge Block: - (y Cn <br /> Quantity Installed2ilu�Xr.� Discussed with geologist - (y n� <br /> Type of method <br /> EH 29 29 <br /> /Xe — reg <br />