Laserfiche WebLink
ONITORING WELL INSTALLATION REPOW, <br /> 7 <br /> 0 to rL <br /> --JL9—� <br /> Date: I2 l CONSTRUCTION <br /> i <br /> Premise Address: 44DI PuuhG n.r e- 0 14e Total Depth �2 <br /> Screen Length (from) :::IZ (to) 5 Z <br /> Well No.: L�-I / W- I Filter Pack (from) :7'2- (to) 5C <br /> —� Bentonite (from) Fid (to) <br /> Inspector: M • MTS Grout (from) (to) <br /> I Drilling rig typeO�T <br /> Permit No. q�\"• I Z�,O�`i Auger O.D. C�" I.D. / <br /> Drilling Company: <br /> VyeSTt T Completion - Stove pipe/ stie bo (circle one) <br /> -(Ong �argvn llo - ll� <br /> Driller: casing <br /> Dpnn\' height <br /> Consultant ��5 iV A 1 � � <br /> —qv-F <br /> Geologist L-A.) � - <br /> ABCVE-GACUND CHMM-box <br /> CCMPLE CN COMPI._R1CN <br /> SPECIAL PERMIT INFO. Ground Swef <br /> Spec I + <br /> Distance to sewer line < 5oPER <br /> pfout <br /> Domestic well on site - ( y/® ft. <br /> If yes, location and distance - <br /> 5 2 <br /> ft. <br /> ft. <br /> = o <br /> = c <br /> SAMPLING dot = c <br /> P &ec5cn — <br /> Holding Temperature �vv1 I I I _ F <br /> Method0.m It StDv — <br /> Screening Method -R%V OV lvt 5AG r = <br /> Tracking Sheet - ( y/ n ) <br /> SPOILS J 1 <br /> Storage Method t)alav 0a) MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/P P0 O A 0.0-0.3 X Z ' PVC <br /> Storage Location or"51 , Casing type <br /> Blank 57- ft. Screen Z0 ft. <br /> Slot size • C D <br /> GROUTING Bags cement Nie-QT <br /> t Buckets bentonite 1 <br /> Depth to water Bags sand/gravel %Z <br /> Mix Ratios Filter Pack type/size 1 G 5/30 <br /> Installation Methodl6h4-'C Tvmcv) 20 [e= Surge Block: - ( y/D � Gt� <br /> teblvvr <br /> Quantity Insta6d Discussed with geologist: - 'V n ) <br /> "ev5 _ ,V 5i Type of method <br /> EH 29 29 CI-ACK <br /> 50.�<� ® c�--1'l� <br /> &5 g� ft <br />