Laserfiche WebLink
%NITORING WELL INSTALLATION REft <br /> Date: 6� CONSTRUCTION <br /> Premise Address: Total Depth <br /> / Screen Length (from) (to) <br /> Well No.:..4- Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: ,/ Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant "�r <br /> Geologist�e;.., l /L Ct c.� •- T <br /> l ABOVE-GROUND CHRISTY480X <br /> COMPLETION COMPLETICN <br /> SPECIAL PERMIT INFO. Ground Surface -- <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) 6_57 <br /> If yes, location and distance - ft' <br /> 71S_ <br /> — o <br /> SAMPLING dotted <br /> ssc1on —_ <br /> Holding Temperature = 73vol pack <br /> Method = <br /> Screening Method = <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type/ KU <br /> Blank ft. Screen ft. <br /> Slot size C,% 7 7 r-) <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Ivue - _ Filter Pack type/size <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />