Laserfiche WebLink
*NITORING WELL INSTALLATION REPO <br /> Date: 3 • I Ce-aS / CONSTRUCTION <br /> Premise Address: SOS c-Apcz >Z, Total Depth <br /> Screen Length (from) z�) (to) <br /> Well No.: ivLt J- 3 Filter Pack (from) 4i D (to) <br /> Bentonite (from) V% (to) Z, <br /> Inspector: _ limos.n' Grout (from) (to)�L <br /> Drilling rig type Olmr4 � <br /> Permit No. DO i Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: �Y�/ <br /> Driller: <br /> casing <br /> height <br /> Consultant <br /> Geologist \W l6 <br /> ABON E-GROUND <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Grourd Sexy <br /> COMPLETICN <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - ft. <br /> ft ft. <br /> o <br /> C <br /> SAMPLING <br /> slotted = s <br /> p &*Cion — $ <br /> Holding Temperature <br /> Method i = Pack <br /> Screening Method 3 ' <br /> Tracking Sheet - ( y/ n ) S� _ <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (07n ) <br /> Storage Location Casing type e'(,4(- <br /> Blank �19 fr. Screen--:Z,,7 fr. <br /> Slot size <br /> GROUTING / Bags cement <br /> Buckets bentonite_ \ � <br /> Depth to water b Bags sand/gravel <br /> Mix Ratios 4 r Filter Pack type/size XX <br /> Installation Method (1 oMn . Surge Block: - (9/ n ) <br /> Quantity Installed Discussed with geologist: <br /> EH 29 29 <br /> Type of method v <br />