Laserfiche WebLink
OONITORING WELL INSTALLATION REPO <br /> Me iL Mw3 <br /> Pic cF-[C <br /> Date: 1) �' J 'q2- <br /> IN <br /> � CONSTRUCTION 5 <br /> Premise Address: T�J ctc4(�LG I �l(i Total Depth <br /> Screen Length (from) (to) <br /> Well No.: WU ? Filter Pack (from) (to) <br /> �7 Bentonite (from) (to) <br /> Inspector.. Grout (from) (to) n <br /> r/ Q Drilling rig type hbmI 6( <br /> Permit No. Auger O.D. I <br /> lUVI �— Completion - Stove pi c trisde box Icircle one) <br /> Drilling Compan)r <br /> IOr1' �1rVvr)l D <br /> Driller: / casing <br /> hel ght <br /> Consultant IT <br /> —EWT <br /> Geologist FCf�. <br /> ACOWL TIOND GiMM-a0X <br /> COMPLE7fON COMPLE7I0N <br /> SPECIAL PERMIT INFO. ` ��� Ground Su an <br /> Distance to sewer line rfX�a F t'1\ grout <br /> Domestic well on site - (y/ n ) 'It, <br /> If yes, location and distance - ft- <br /> m <br /> w <br /> _ o <br /> SAMPLING slonod <br /> 4e— <br /> Method <br /> c+ soc'cn <br /> Holding Temperature '— <br /> Method — gmvw Pack <br /> _ . <br /> Screenin-Method UU <br /> Tracking Sheet • (y/ n ) l ' <br /> 7: — <br /> tt. <br /> SPOILS ' <br /> Storage Method ' (U.lMATERIALS/DEVELOPMENT <br /> Contamination Noted - ( r; D G <br /> Storage Location Casing type 7 I V <br /> Blank 51 ft. Screen 2 O ft. <br /> Slot size .OI O <br /> GROUTING 1 Bags cement C4 kna-c, <br /> Buckets bentonite i 0 L' <br /> Depth to water ( LCU(1 Bags sand/gravel V <br /> Mix Ratios Filter Pack type/size <br /> Installadon Method Surge Block: - ( y n <br /> Quantity Installed Discussed with geo ist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />