Laserfiche WebLink
OTORING WELL INSTALLATION REPO,, <br /> � 0� N CONSTRUCTION <br /> Date: <br /> Total Depth <br /> Premise Address: Screen Length (from) (to) his <br /> � � /Z•• Filter Pack (from) (to)-0 <br /> Well No.: <br /> Bentonite (from) �-�7 (to) 20 <br /> Grout (from) S D (to) <br /> Inspector: Drilling rig type pz <br /> Auger O.D. g I.D. <br /> Permit No. Completion - Stove pipe/christie Tox (circle one) <br /> Drilling Company: <br /> casing <br /> Driller: tt^ti t �` height <br /> Consultant <br /> Geologist AgpVE-GACUND CHS�M-BCX <br /> AV �-• 00hpLETION COMPLETION <br /> u Grourd Surf <br /> SPECIAL PERMIT INFO. <br /> proof <br /> Distance to sewer line ft <br /> Domestic well on site - n ) N tt <br /> If yes, location and distance - /D0 r A <br /> P - m <br /> 1 p <br /> SAMPLING slotted = $ <br /> 13sac9cn <br /> A = c,,,,,I pack <br /> Holding Temperature fCj = <br /> Method <br /> Screening Method d <br /> Tracking Sheet - Wn <br /> / yam/ IIGVr"'� tt. <br /> ��•L "_ �h 1aA� �-�ror Tjt�O <br /> SPOILS \ /n' �e <br /> // AlA41 s t� MATERIALS/DE OPMENT �` <br /> Storage Method — <br /> Contamination Noted - (vt>✓'D <br /> Casing type <br /> Storage Location ti Blank- Screen__ <br /> Slot size <br /> Bags cement G -T <br /> GROUTING 'r 'r <br /> Buckets bentonite <br /> 7 jdf Bags sand/grau 1 <br /> Depth to water Filter Pack typeBags <br /> — <br /> Mix Ratios �I <br /> Installation Metho o Surge Block: - lY�n ) <br /> Quantity Installed �is.f- a�C Discussed with geologist: - (y — <br /> Type of method <br /> EH 29 29 <br />