Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: �� y/U3 Z/q-1y d q CONSTRUCTION <br /> Premise Address: h* IS� Al Sp- <br /> Total Depth <br /> �,�Qp /Screen Length (from) (to) <br /> Well No.: W W 1Yi� Filter Pack (from) (to) <br /> % Bentonite (from) (to) <br /> Inspector. Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. 1 d I.D. la M Lgst-v <br /> CctnpYeuo�n Stova.R�ipe/christiebox (c�— <br /> Drilling Company: / <br /> Driller: casing <br /> height <br /> Consultant l\ ` <br /> T <br /> Geologist —ABOVE-GRCZIND <br /> COWLEfION C APLEE CN <br /> C0�41PLETICN <br /> SPECIAL PERMIT INFO. G=nd Sui"Y <br /> C pratIF 1 <br /> Distance to sewer line 444JJN",,, <br /> Domesdc well on site • (y l n) tt. <br /> if yes, location and distance - Y. <br /> y O <br /> fr � <br /> T j• O <br /> SAMPLING 1 ilorad = <br /> iocicn <br /> Holding Temperature l+�U _ - _ �ravatyacx <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/n) <br /> LZ <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) Casing a �?JUT L� <br /> Storage Location fr. <br /> Blank I del ft Screen <br /> Slot size PJ U 31tb <br /> GROUTING Bags cement <br /> Buckets bentonite2-11 <br /> w <br /> Depth to water Bags sand/gravel <br /> Mix Rados Filter Pack type/ 'ze� O 030 <br /> -installation Method Surge Block: - U/n ) <br /> Quantity Installed Discussed with geologist: - / n) <br /> Type of method <br /> EH 29 29 <br />