Laserfiche WebLink
NDNTTORING WELL INSTALLATION RBPORT <br /> �Date=-- er �,Q�,,,fUCTION <br /> / 3,?O b well No. <br /> Premiss Addre 1 t.��c� �t�!i l�G <br /> Inspectors ^^ �,��� Total Depth <br /> Screen Length <br /> Filter Pack V-7, <br /> Bentonite Pellets 7"'V =3 <br /> Permit No. 6 - G Grout <br /> Consultant It y l Completion-Stove pipe Christie bbx <br /> Geologist 1-J / <br /> Auger D.D. <br /> Auger 1.D. <br /> S � /b r /5- -_ <br /> Holding Tsmperat4re <br /> Method . l • 041ce,- a .♦ �'d4--� <br /> Screening Method /� T <br /> AOM43ROUdD CHRIM-BOX <br /> Tracking Sheet (y/n) OOIrPLEWN <br /> COAPLETIQN <br /> SPOILS Ground Salsas <br /> P� <br /> Storage Method / 'U4 <br /> Contamination Noted - ye /no r <br /> Storage Location <br /> `, <br /> Spacim PMXT Iwo <br /> Distance to sewer line <br /> Domestic well on site - yes/no uq ,... < .... <br /> If yes, location & distance - ' = <br /> Iw <br /> n <br /> MMRIALS VSE7�D s <br /> Depth to water r/� S fr Casing pe rJ <br /> Mix Ration-AztZ mf r^ Blank, ft. Screen ft. <br /> installation Method 4 Slot size <br /> Quantity Installed /' Bags cement <br /> is bentonite ,J G <br /> Hags sand/gravel!7Ic <br /> - <br /> y �U /K, Iter Pack type/size _f. <br />