Laserfiche WebLink
*..i <br /> MONITORING WELL INSTALLATION REPORT <br /> Date:_ `7 131w CONSTRUCTION <br /> Premise Address:_9t71j U �ldLh' ��� C Total Dep th o2 T ` <br /> Well No.:_ Screen Length (from)_ <br /> Filter Pack (from) e2 :2 _(to)_>7� <br /> Inspector: Bentonite (from)_ 91--).1 <br /> Grout (from)_ Li(to) <br /> Drilling rig type <br /> Permit No._. Auger O.D. izu <br /> h <br /> Drilling Company: <br /> Completion- Stove pipe/ stie box ircle one) <br /> Driller: A <br /> casing <br /> height <br /> Consultant_ ' <br /> Geologist <br /> ASC <br /> VE-GROUND <br /> COMPLETION Ca tAISTY-80X <br /> SPECIAL PERMIT INFO COMPLETION <br /> Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) p, <br /> If yes, location and distance - <br /> SAMPLING v• — o <br /> SICtted — c <br /> Holding Temperature = <br /> Method — Gni Pack <br /> Screening Method <br /> Tracking Sheet - (y/n) <br /> SPOILS <br /> Storage Method eta P d�,il�yyi C �J MATERIALS/DEVELOPMENT <br /> Contamination Noted - (A <br /> Storage Location , Casing type H L-) <br /> Blank ( "a ft. Screen ft. <br /> Slot size /`) , D1 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water_ Bags sand/gravel <br /> Mix Ratios Filter Pack type/size `-; ryLkvxe^ <br /> Installation Method_ <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> EH 29 29 Type of method <br />