Laserfiche WebLink
N MONITORING WELL INSTALLATION REPORT <br /> Y4 6W E 7S <br /> Date : A(/gast o? '% , .2d / () CONSTRUCTION <br /> Premise Address : ) I S" 3 D Wb Et )1+ M i Ie- Rd . Total Depth 30 r <br /> Screen Length (from) 30 r (to) / 0 ' <br /> Well No, : T 'YV Z. Filter Pack (from) 30 , (to) 8 ' <br /> ` / Bentonite (from) 8 ` (to) G <br /> Inspector: Y GL ' M61�'IrEng, Grout (from) 5 ' (to) $ Vr -Aa ?'e <br /> Drilling rig type em $` <br /> Permit No. 00 D 7 g j Auger O,D. 11) - ; Aedj I .D. :n <br /> Completion - Stove pipc 'stie box (circle one) <br /> Drilling Company: wet6n4ylfSmiria rn+ernia+jaha) S:1 <br /> Driller: Jr4"Prf6k casing - <br /> �}Srisf�rl b egrlpS and Wirr Maypena height <br /> Consultant_- � A-J_rre tgp� <br /> Geologist_ _ - J6 krn c,CG' 2r974 <br /> ABOVE-GROUND <br /> COMPLETION LCNRISTY-80X <br /> P <br /> SPECIAL PERMIT INFO, Ground Surface <br /> Distance to sewer line vnkY2AijP^ - S2j`� SNsfS grout <br /> Domestic well on site - y / j) an� <br /> If yes, location and distance - Sr n. <br /> 14)* r >swj rhaf-iol I SO4�ey± -47 *kc 5r n' <br /> �zead; <br /> SAMPLING $ ' 11741pPm <br /> alofted _ 8 <br /> e 10 ' 12t Pf'" eadon <br /> Holding Temperature P <br /> Method_ Tde ; n a Gea / ter ad 0. 6 �+n <br /> ack <br /> Screening Method ?V. <br /> DZS ' 0, 3 PP rn <br /> Tracking Sheet - y n ) 30 ' 0 . 6 P)om <br /> 030 <br /> SPOILS <br /> Storage Method a4JItm drVMj MATERIALS/DEVELOPMENT <br /> Contamination Noted - Q& n ) <br /> Storage Location 12 /n 1w n2 K `9e, df; 11jN &j SrtG Casing type ro tr - h14'k SGI'ie4y4c 80 <br /> Blank In ft. Screen 20 ft. <br /> Slot size & d .Za <br /> GROUTING Bags cement do 40wr624z <br /> Buckets bentonite42� vM C & TCd f'yrc Gole <br /> Depth to water Bags sand/gravel /� i�fy-aov +rfCrm €Xtao �s <br /> � tf s¢re <br /> Mix Ratios g avf 'Y ,, 4& Ak Filter Pack type/size -1t 3 <br /> Installation Method au lvvirba&17 Surge Block: - ( y /(n ) <br /> Quantity Installed I bn l el }�`� p{ Discussed with geologist. - ( y n ) <br /> Type of method XT; leer Ll161 Vn .drb {a YYrn <br /> EH 29 29 Grovfi LA) a-5 "2z*Wz f n L£ �S [ Cr�lr+t �Nv . +� eRr 1 . <br /> US ; GJrnu )' betf�°rJ . !. L'QJ � ytq Sb '�'t � IW43no <br /> (o b sof 6 v k +e f t r4 )k-• � + S <br /> ( I <br /> 10"� US41( . <br />