Laserfiche WebLink
,mot " ZING WELL INSTAI.i.�-Ni SON SPORT <br /> 7 �9 cde�s <br /> CONSIL RUCTION <br /> Date: 2- <br /> 41 <br /> Total Depth ` <br /> ?-e_=.ise Address:,,,/ �"�' Screen Length (from) 2(0 (to) <br /> Filter PaGG (from) Z� (to) <br /> II N <br /> Weo.: Bentonit- *Otn)_, (tO) Z <br /> Grout- � Ch'om� Cto) O <br /> Inspecroc: —Z� Drnlling rig type <br /> W- Z Auger O.D. //$ I.D. <br /> Pe.^it No. Complex - Stove pipe/clz:sde box (circle one) <br /> Drilling Company, <br /> -♦- cas_ng <br /> ! � ♦ height , <br /> Driller. 7I ( 7 <br /> __ ..y <br /> ConsuLtan <br /> ''// ^/ CSR �IgCVS-GRtX.'ND �5�!-3CX • <br /> Geolog•.st V �� (- �` t+�'=�;CN C.^•MP'CCN <br /> Grw-4 SLe-=* . <br /> S?crrcat pcRN- IIT IN--0. grcct <br /> Dis:a.ce to sewer linea <br /> Domes-dc well on site - C Y/Q)if Yes, location and distance - -t=-n• r" <br /> r • <br /> C <br /> r.__JJ O <br /> (W <br /> f-C.Oft r' 3 <br /> SAII(?►:NG _ �raYYi;.acc <br /> I-Ioldk Temperature lax <br /> Me*mod - <br /> Sc:eening Method '» " = ♦ fL <br /> Trac'-dag Sheet - <br /> n) � — <br /> S�-� ,- <br /> SPOILS �9 i <br /> UALS eo LOPkE T <br /> Storage \dethod <br /> Contamination Noted- ( ) Casing type fL <br /> Stora,e Locarion ox Blank_ [e _ft- Screen <br /> Slot size O v <br /> \ Bags come-zt S <br /> CROU• iNG Bucccets bentonite <br /> 13J Bags sand/gravel i Z <br /> Depth to water Filter Pack rype/size <br /> vtzx Rados Surge Block: - `L! a) <br /> Ins;alladon Method Disc,=sed +vit{h geologist. . C Y/ n) <br /> Quandt'Installed Type of menhod <br />