Laserfiche WebLink
MONITORING WELL INSTALLP►TZON RF-PORT <br /> Date: <br /> CONSTRUCTION <br /> Total Depth (to) <br /> Premise Address: (/ Screen Length (from) <br /> Filter Pack (from) (CO) <br /> well No.. '��' J Bentonite (from) (C0) <br /> i� <br /> Grout (h•om) (Co) <br /> Inspector. i'� .Drilling rig type <br /> Auger O.D. I.D. <br /> Permit No. Completion - Stove pipe/clui tie box (cLrde one) <br /> to <br /> an <br /> Drilling Com P T- <br /> casing <br /> Driller - he_ght <br /> Consultant <br /> Geologist AE E-GECUND <br /> CrJ Mr L_..�C iO tJ Gp},a?L-ilC N <br /> Grand Suixt <br /> SPECIAL PERMIT INFO. flea t <br /> Distance to sewer line". <br /> Domestic well on site = (y/ n) f?. <br /> If yes, location and distance - _ _ <br /> _ o <br /> � C <br /> O <br /> l I0 C.hj _ a <br /> SAMPLING i?C1CCl <br /> Holding Temperature } <br /> Method = <br /> Screening Method ; <br /> Tracking Sheet - (Y/ <br /> n. <br /> SPOILS <br /> M_A_T_ERI ALS/DEVELOPMENT <br /> Storage MethodS U <br /> Contamination Noted • (y/ n) Casing typePJB <br /> • Storage Location Blank ft.I I�oS�een <br /> Slot size 1 K16� <br /> Bags cement <br /> GROLMNG Buckets bentonite <br /> Bags sand/gr'vcl <br /> Depth to tvater Fuer Pack type/s <br /> Miz Ratios Surge Block: - f / <br /> ipstalladon Method Discussed with geologist: - (�y/ n) <br /> Quantity Installed Type of mctliod <br /> EH 29 29- <br />