Laserfiche WebLink
*10NITORING WELL INSTALLATION REPORT <br /> Date:__ I b'0 6 t 20t <br /> CONSTRUCTION <br /> Premise Address: 11-51 N -tom �$ KD Lcx�i I G� Total Depth 29' <br /> Well No.:_WSvvn -ZM Screen Length (from)_ (to) 2-L <br /> Filter Pack (from) 5 (to)_ 2q' <br /> Inspector: . '�a WNN%fGrnut�te (from) `f (to) '5 <br /> D�'1�urtn. <br /> n (from)_ �3 (to) <br /> Permit No. SRm7al�G Drilling rig type_ fpprsvrsg -•+$22 p-r <br /> Auger O.D.-- I.D. <br /> — <br /> .D. I.D._ <br /> Drilling Company: P�'�Layt"F pK I «(�� Completion - tove pipe christie box (circle one) <br /> Driller: lit GG rtr-e- <br /> casing <br /> Consultantheight <br /> WCS� /ar �S��it/I�r �W1�i4� <br /> Geologist <br /> ABOVE-GROUND <br /> COMPLET{ON C-IRZ7Y-BOX <br /> SPECIAL PERMIT INFO COMPLETION <br /> Ground Suriaca <br /> Distance to sewer line <br /> Domestic well on site - (y/n grout <br /> If yes, location and distance - .3 _ft <br /> m <br /> _ a <br /> SAMPLING = r <br /> W/A <br /> Holding Temperature aac9on '- <br /> Method = VIVO Pack <br /> Screening Method = <br /> Tracking Sheet - (y/n) _ <br /> 1t. _ <br /> SPOILS <br /> rorwoF 2 �V_ 51 Swf t=Ap �ftP <br /> Storage Method got&I <br /> Contamination Noted - (y/ -MATERIALS/DEVELOPMENT <br /> Storage Location Casinge_ <br /> t3'P (2V C Sr-lt `tD � 2 � D,hNAs-rey, <br /> Blank_o-► L Screen_ i S —ft. <br /> GROUTING SIot size 0-02""' <br /> Bags cement <br /> Depth to water to •S Buckets bentonite <br /> Bags sand/graveI <br /> Mix Ratios Filter Pack type/size MorrrftE #05 <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> EH 29 29 Type of method <br />