Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: <br /> CONSTRUCTION <br /> Premise Address:_ <br /> i� Total Depth <br /> Well No.: Screen Length (from) (to)�- <br /> 1�1–�doZ—1 Filter Pack (from) (to)JLXI— <br /> Inspector: Bentonite• (from) (to)�_ <br /> Grout (from) ` (to)_ <br /> Permit No. — <br /> 5,2 Q 0� Drilling rig type -( <br /> _ Auger O.D. el LD <br /> Drilling Company: Completion- Stove pipe/ •'s 'e bo (circle one) <br /> Drill": (n <br /> casing <br /> 1 height <br /> Consultant <br /> Geologist -_ -- <br /> ABOVE-GROUND <br /> CON,PLETION C*-[Rz-rY-BOX <br /> SPECIAL PERMIT INFO. COMPLETION <br /> Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) <br /> If yes, location and distance <br /> SAMPLING = = s <br /> • ax9on = <br /> Holding Temperature = P <br /> Methodgraysl <br /> Screening Method <br /> Tracking Sheet - (y/n) ' <br /> t <br /> SPOILS <br /> Storage Method C- Ui/7 MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( /n) / — <br /> Storage LocationYI_ 6S-� Casing type asd AD <br /> J <br /> Blank 1 ft. Screen_/ ft. <br /> Slot size C9,01'r <br /> GROLUING Bags cement <br /> Buckets bentonite <br /> Depth to water 1 S Bags sand/gravel <br /> Mix Ratios Filter Pack type/size ?Z <br /> Installation Methodlock:_(-y/_n_) -- <br /> Quantity Installed Discussed with geologist: - (y/ n) <br /> EH 29 29 Type of method <br />