Laserfiche WebLink
(�qNITORING WELL INSTALLATION 1. . 0 <br /> t <br /> t <br /> / 2 i3 CONSTRUCTION ! <br /> Date: / ' L/5 <br /> '1 / ,f S < < Do2iogba s? Total Depth Cto) <br /> ' <br /> Premise Address: Screen Length Cfrom) 2 t <br /> Filter Pack Cfrom) Z (to) <br /> Well No. : %� �- �`" Bentonite ' (from) ' (to)� <br /> Grout Cfrom) 0 (to) <br /> . K— L / <br /> Inspector: `� yo Drilling ng type <br /> SRogzl Anger O .D. &_t f I.D. <br /> Permit No, Completion - Stove pipe/ • stie box (circle one) <br /> DrllngCompany: 41L Wfrr & IAF�RNDavr�N2- <br /> casing <br /> Driller: Az height <br /> Consultant <br /> Geologist DONtCrL• vfLL tVuAuR �gpyE GRDtJND 571 BOX <br /> COYPLEmN comgLE CN <br /> Ground Surf . <br /> SPECIAL PERMIT INFO . <br /> grout <br /> Distance to sewer line <br /> stip we <br /> Z ft- <br /> If yes, location and distance - 2s ft• <br /> SAMPLING • tx on c <br /> b C = pr-avel paelc <br /> Holding Temperature r ' _ <br /> Method C6 ' Q — <br /> Screening Method = <br /> Tracking Sheet }�/ n ) � � tt• - tt. <br /> SPOILS <br /> StorageS MATERIAI.S/DEVELOPMENT <br /> Method OY ) <br /> Contamination Noted - / n ) Casing type <br /> Storage Location Blank 2f ft Screen 719 ft• <br /> Slot size D • n o <br /> G B s cement <br /> GROUTIN � 1 <br /> Bbentonite 1 b C <br /> 1 b V J2 <br /> Bags sand/gravel ^ <br /> Depth to wate r1 S C Filter packtype/size <br /> Mix Ratios N Surge Iork: - <br /> Installation Metho 6 ? Discussed with geologist: <br /> quantiiyffi talled. Type of method <br /> EH 29 29 <br />