Laserfiche WebLink
MONITORING WELL INSTALIATION REPORT <br /> CO STRUCCION <br /> Date: <br /> Total Depth <br /> Premise Address: Screen Length (from) <br /> Filter Pack (from) (to)_._..._.,_ <br /> Well No.: Bentonite Urom)---- - (10)_ <br /> Grout. (from) (t°)---- <br /> Inspector. Drilling rig VPe <br /> Auger O.D. LD- <br /> — -x No. Completion -Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> casing <br /> Driller: _ height <br /> Consultant T <br /> Geologist A vE-GRCUND CHRLS Y-84X <br /> COMPLETION COMPLETION <br /> t3rocird 5urixs <br /> S�PEC[AL P T INFO, ' <br /> IItuti <br /> Distance to sewer line.it. <br /> Domestic well on site - (y n) ft. <br /> If yes,location and distance - <br /> Id <br /> rw M <br /> SAMPLINcn <br /> Vol Pack <br /> Holding Temperature---.--------- <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/n) Ir <br /> ft. <br /> S,�OIIS <br /> V� ,fA' F—j6LS/DEV'ELOPMENT <br /> . Storage Method <br /> Contamination Noted- (y/ n} ming type <br /> Storage Location - Blank ft: Screen �• <br /> Slot size <br /> Bags cement <br /> GR�NG Buckets bentonite <br /> Bags sand/gravel <br /> Depth to water Filter Pack type/size <br /> Mix Ratios Surge Block: - (y/n ) <br /> Installation Method Discussed with geologist: - (y/n) <br /> Quantity Installed Type of method <br /> EH 29 29 <br />