Laserfiche WebLink
•ONITORING WELL INSTALLATION REPO <br /> Date: 1 J LQ�� �� CONSTRUCTION <br /> Premise Address:5(5t> r,- , L-C>u' V- NJ-p-,- Total Depth <br /> Screen Length (from) a2-O (to) <br /> Well No.: w i i W'2 LW"3 f W r`4, t`t,S Filter Pack (from) 10 (to) SS <br /> Benronite (from) (to) <br /> Inspector. /��jl�� AugerGrout (from) _(to) <br /> //6r 27 '9 & Drilling ng type <br /> Permit No. 5� � Auger O.D. �6 `t I.D. <br /> / Completion - Stove pipe/dhristie box (circle ane) <br /> Drilling Company: y �� Dy��`l�� <br /> Driller: casi q <br /> heigh <br /> Consultant_ Ab — <br /> Geologist ,'b 7 � AZ0yE-GaCAJN0 <br /> W i6-P- COWLTCN crwesrraox <br /> aon+P�mcN <br /> SPECIAL PERMIT INFO. Orouril Strlan ��-� <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/ n ) ft. <br /> If yes, location and distance - <br /> O <br /> SAMPLING dorsi <br /> sacicn <br /> Holding Temperature = gravel F <br /> Method =_ <br /> Screening Method = <br /> Tracking Shcet - ( y/ n) (� <br /> SPOILS <br /> Storage Method 1`dATERIAIS/DEVEI.OPMENT <br /> Contamination Noted - (y/n ) <br /> Storage Location Casing type 5C- - -to <br /> BIS /D {t Screen OO ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Bu tonne <br /> Depth to water Bags s vel <br /> Mix Ratios ter Pack type/size <br /> Installation Method Surge Block: - (y/tt ) <br /> Quantity Installed Discussed with geo�ggist: - (y/ n) <br /> Type of method II '' lrr� <br /> EH 29 29 44 3 W 51'�A <br />