Laserfiche WebLink
gONITORING WELL INSTALLATION REPO <br /> Date: ' CONSTRUCTION <br /> r� I <br /> Premise Address: (,)to VRA M IPoiMkP4'_- Total Depth 1J <br /> Screen Length (from) 1.5 (to)_ <br /> Well No.: �11ry �' '3 Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: �20vc / (V1�E'1i�5 Grout (from) "p (to) <br /> Drilling rig typer`\'7 <br /> Permit No. Auger O.D. I.D.D <br /> y 2\ <br /> Drilling Company: <br /> U f Completion - Stove pt circle one) <br /> `E,./. / <br /> Driller: -'1iw1'� Vtli�b casing <br /> height <br /> Consultant C9t:b 1 ff <br /> Geologist <br /> ABOVE-GROUND CNRIS7Y-BOX <br /> COA�LETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sudan <br /> Distance to sewer line grout <br /> Domestic well on site - n ) <br /> if yes, location and dis ft. <br /> ft. <br /> = e <br /> SAMPLING slatted <br /> action <br /> Holding Temp hature _ d <br /> Method <br /> Screening Method _ <br /> Tracking Sheet - n ) 21� <br /> SPOILS <br /> Storage Method 3\1 OV 1QL MATERIALS/DEVELOPMENT <br /> Contamination Noted / I <br /> __// <br /> Storage Location tJl ln�lf� Casing type ` .r',v f <br /> Blank ft. Screen IL, ft. <br /> Slot size <br /> GROUTING Bags cement <br /> y Bucked�1y)entonite � 2 'rYd <br /> Depth to water ry Bags 45pgravel_5 <br /> Mix Ratios \%"OtAol Filter ck type/size k �% <br /> Installation Method AN%,,M Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />