Laserfiche WebLink
MONITORING WELL INSTALLATION REF..:cT <br /> CONSTRUCTION <br /> Dare: <br /> 2C0 � L( J Total Depth <br /> Premise A dress: n n Steen Length Cfrom) (t°) <br /> pQ� t/�� Filter Pack Chom) q Cto} _ <br /> Well No.: ( fA As Benronite (from) -3,J- Cro) <br /> 1 , Grout (from (to) <br /> Inspector. ��� Drilling rig type <br /> Auger O.D. l jLz- I.D. Vq <br /> Permit No. Completion - Stove pipe/christie box (circle one) <br /> Drilling COMpant'._f / <br /> casing <br /> Driller Ca he / <br /> .Fr <br /> Consultant <br /> Geologist ASCYE-GRCUND <br /> CCW °TION CCUPI=LiV4 <br /> G nd SLTI� <br /> SPECIAL PERMIT INFO. <br /> n� <br /> Distance to sewer line t <br /> Domestic well on site - ( y/ n ) r _ L <br /> If yes, location and distance - (�{ <br /> 0 <br /> ,ad <br /> SAMPLING sb <br /> II aaccn <br /> Holding Tempereturek/Al — =_ <br /> Method <br /> Screening Method r _ <br /> Tracking Sheet - (y/ n ) = t n <br /> `` fL F <br /> SPOILS 5�.1 <br /> MATERIALS/DEVELOPMENT <br /> Storage Method <br /> Contamination Nion <br /> y n Casing rYPe y h P1JL <br /> Storage Location S Blank ft. Screen —h• <br /> Slot size (3ZZ7 <br /> Bags cement <br /> GROUTING Buckets bentonire <br /> Bags sand/gravel <br /> Depth to water Filter Pack type/size_�— <br /> Mix Ratios ^ ru ^ ) Surge Block- - C Y/ n ) <br /> Installation Method CAI- Discussed with geologist: - C Y/ n) <br /> Quantity Installed Type of method <br /> EH 29 29 <br />