Laserfiche WebLink
00NITORING WELL INSTALLATION REPOT. . <br /> Date: 6�/T '—� l�/9 / CONSTRUCTION <br /> Premise Address: ZED Y .) 2,7,/ 1V Total Depth �5 <br /> Screen Length (from) (to) 5 <br /> Well No.: �SZ C Filter Pack (from) /::F3 (to) /,7 5 <br /> Bentonite (from) /S() (to) /5 j <br /> Inspector: a- Grout (from) 1,50 (to) O <br /> Drilling rig type 70 <br /> Permit No. 0 0 a Auger O.D. Z I.D._16 XZ__ <br /> - Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: � <br /> Driller: 'w" b /. �� Afccasing <br /> �+ —T height <br /> Consultant U//L/,1/4't <br /> Geologist JPZ9, � <br /> ABOVE-GfiWND &CHRMMTY43OXCOMPLETION <br /> SPECIAL PERMIT INFO. Ground So tacf - <br /> Distance to sewer line <, / grout <br /> Domestic well on site - ( y/ n) 1150 ft. <br /> If yes, location and distance - tt- <br /> t`35 tt. <br /> o <br /> _ m <br /> SAMPLING slotta = x <br /> section <br /> Holding Temperature /!� = Qravel pads <br /> Method = <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method ` �"� `�1 1j G` MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ - �` / p/° y�`J r <br /> Storage Location Casing type <br /> Blank lS5 ft. Screen <br /> Slot size 117 <br /> GROUTING Bags cement f9 =36 <br /> *Baekem bentonite I 0 <br /> Depth to water Bags sand/gravel U <br /> Mix Ratios D t Filter Pack type/si Z _ <br /> Installation Metho truer Surge Block: - ( / n <br /> Quantity Installed OD� �� - Discussed with g gist: - (y n ) <br /> Type of method <br /> EH 29 29 <br />