Laserfiche WebLink
WONITORING WELL INSTALLATION RA <br /> Date: CONSTRUCTION <br /> w 1 <br /> _g <br /> / <br /> ( � �1� <br /> Premise Address:s C lN+j Total Depth <br /> l Screen Length (from) (to) <br /> At Gt/ � IkA.1 i-AAC / Filter Pack (from) (to) <br /> Well No.: wlt/ <br /> Bentonite (from) (to) <br /> Inspector: ^ Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> �Q �� ® height <br /> Consultant V"Xu l ( <br /> T <br /> Geologist ABOVE-GROUND CHRM Y43OX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. ���Grou Surtxa ��� <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/ n) ft. <br /> If yes, location and distance - ft. <br /> _ m <br /> _ m <br /> - C <br /> O <br /> SAMPLING aloft" <br /> Holding Temyafore <br /> Method //, _ <br /> Screening Method = <br /> Tracking Sheet <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n) <br /> Storage Location <br /> Casing type ,- 11TC/ <br /> Blank ft. Screen--------ft. <br /> Slot size <br /> GROUTING /f7 Bags cement <br /> Buckets bentonite <br /> Depth to water��• 7 ' L �' S Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method ftv7, Y 7 Surge Block: - (y/ n) <br /> Quantity Installed Discussed with geologist: - (y/ n) <br /> Type of method <br /> EH 29 29 <br />