Laserfiche WebLink
MONITORING WELL INSTALLAZTON RFOORT <br /> Date: 6,/30) o CONSTRUCTION <br /> Premise Address: Total Depth <br /> Screen Length (from) t o (to)2_ <br /> Well No.: /VVI .� Filter Pack Cfrom) al"6 (to) Lo <br /> Bentonite (from) S' (to) 9"5- <br /> Inspector. Grout (from) (to) S <br /> Drilling ng type <br /> Permit No. 14 16 O.6 Auger O.D. " I.D. <br /> Completion-Stove pipe/christie box (circle one) <br /> Drilling Company. n-S <br /> Driller: �— cas=9 <br /> -T height <br /> n <br /> 7r77 <br /> Consultant t� <br /> Geologist ` <br /> A*CVc-uACUJND C}StSY-CIZX <br /> SPECIAL PETLW. —, INFO. Cracid SLe'O! <br /> Distance to sewer line <br /> Domestic wet on site - / n ) ♦ Sr ;L <br /> If yes, location ce - <br /> _ c <br /> SAIvTUNG <br /> s.cors = <br /> Holding Temperature F7XV81 Pack <br /> Method P1 E <br /> Screening Method _ <br /> Tracking Sheet - (y/ n ) 1 = <br /> JL <br /> SPOILS <br /> Storage Method_ MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> Storage Location Casing type Z � �k KO <br /> Blank l0 fr. Screen to <br /> Slot size .O Z O <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Rarios g Y-7-AX "A�2 Filter Pack typesize <br /> Installation Method Surge Block - (y <br /> Quantity Instilled iv Discussed with geologist: - C y 1� <br /> Type of method <br /> E.�-i 29 29 <br />