Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> -par ly Cloual`y 4k6dt 600 <br /> Date: Ala ✓ens e-Y , Za 1 CONSTRUCTION <br /> Premise Address: EQ-2 c4k'dZ+ r W&. _ Total Depth /G,6- <br /> Screen <br /> Screen Length (from) )G (to) l/ <br /> Well No.: ?Z .l- Filter Pack (from) 14 (to)9 <br /> Bentonite (from) 9 (to)� . <br /> Inspector: V(dlr.i Me-&r n� Grout (from) S,S (to) r 'u_ <br /> Drilling rig type Col. 1;g <br /> Permit No. S 12 4 DDG 3r754 Auger O.D. <br /> Completion - Stove pipe chris[ie bo>E (circle one) <br /> Drilling Company:: WDA' EYrlora+ ana- We)Is <br /> Driller: Gd r-y lf��'Jif' lev T casing <br /> Q N;Pyr ✓i z. 4 a V 01+Pn I S T height <br /> Consultant SfA nfv Ai + <br /> Geologist La rr broaks Bpi ave EgRei- <br /> - <br /> �JcJ ABOVE-GROUND CNAISTY BOX <br /> COA�LETION COMPLEno <br /> SPECIAL PERMIT INFO. PID Ground&eaca <br /> Distance to sewer line r 7 Q / ''17 P/R3 Qrart <br /> Domestic well on site - (y/9 14' 3P <br /> If yes, location and distance - q7- ft <br /> Px-2 PID <br /> /a,- <br /> SAMPLING <br /> o,-SAMPLING CaG rrry" slotted = c <br /> sac5on = <br /> Holding Temperature �, P <br /> Method <br /> Screening Method P r'D = <br /> Tracking Sheet - n ) <br /> �s—ft. _ ft. <br /> SPOILS J <br /> � n ✓u', j <br /> Storage Method � � d <br /> 1IPMATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) „ r�G�der d/r ,/„ <br /> Storage Location M, J-e- Casing type w <br /> Blank ft. Screen <br /> Slot size // 140 Z U ~ <br /> GROUTING Bags cement 7) bas uik, r•U7 <br /> Buckets bentonite yr e d AS-s S ( Sti <br /> Depth to water ^ �,S� Bags sand/gravel SU.I G,mac; <br /> Mix Ratios ao eellr,.e .e-nl �Z `?Y,&4,,,,i Filter Pack type/size 3 <br /> Installation Method Id2brr.,( frrt.` 453=Sab(h �rd,.t Surge Block: - (y// �( <br /> Quantity Installed l 6a� P L Discussed with geo ogist: - n) <br /> Type of method <br /> EH 29 29 <br />