Laserfiche WebLink
MONITORING WELL INSTALLATION REPO <br /> Date: 6/ [D '� / CONSTRUCTION <br /> Premise Address: l/0�=. � y'"�sf Total Depth <br /> �/ Screen Length (from) (to) !S <br /> Well No.: Filter Pack (from) /&=� (to) ISl - <br /> Bentonite (from) /SJ/ (to) 7 z <br /> Inspector: � Grout (from) / (to) <br /> ., Drilling rig type C-7-1 6 76 <br /> Permit No. Auger O.D. 9' I.D. _ <br /> �- Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:_ <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologists ��fLBZ <br /> ABOVEGROUND CMA15iY-BOX <br /> COMPLETION LEnCN <br /> SPECIAL PERMIT INFO. Ground Sudan <br /> Distance to sewer line <- Jo grout <br /> Domestic well on site - (y(D <br /> If yes, location and distance - ' <br /> /SSR, <br /> m <br /> — e <br /> _ <br /> SAMPLING slottod w = <br /> sactlan .F <br /> Holding Temp G _ �� <br /> Pack <br /> Method NJ 4� — <br /> Screening Method _ <br /> Tracking Sheet - n ) ` <br /> SPOILS -/ <br /> Storage Method (�t�-� MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y n a <br /> Storage Location 44 Casing type �YG <br /> Blank / ft. Screen /0_._ h. <br /> Slot size 102.0 <br /> GROUTING Bags cement <br /> / Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size ! - <br /> Installation Method Surge Block: - (y d <br /> Quantity Installed r F Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />