Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: 7, / 7 - 3 V CONSTRUCTiON <br /> Premise Address: S 6 ell No. V l <br /> Insp ctor: Total Depth <br /> Screen Length S/5•"f „ <br /> filter Pack_ <br /> entonite Pellets -Tr =-G <br /> Permit No. Grout - 43r.-• Z ' — <br /> Consultant 3Completion-Stove pipe/ ristie boy <br /> Geologist <br /> Auger O.D. as7 <br /> Auger I.D. <br /> SAMPLING <br /> IA -GROUND <br /> Holding Temperature y e. $**-up <br /> Method7QW <br /> Screening Method C3 CHRISTY-BOX <br /> Tracking Sheet &n} COMPLETION COMPLETION <br /> Ground Surface <br /> SPOILS <br /> Orou1 <br /> Storage Method__-S }S A,.p <br /> Contamination Noted - s o �- <br /> Storage Location �• <br /> �v n, <br /> o <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> Wood <br /> c <br /> Distance to sewer line r4Ar <br /> swoon _ <br /> Domestic well on site - yes/no = <br /> If yes, location & distance <br /> '56 f t. <br /> GROtYTXNG <br /> TERIALS USED: <br /> Depth to water, N .�4 asing type e c <br /> � _s- � �.. <br /> Mix Ratios 3.es.4. lank__,e�� ft. Screen ys ft. <br /> Installation Me hod r_ All 3lot size_-.• t5. Uya '� <br /> Quantity Installed 3age cement <br /> uckets bentonite--z b cse, <br /> age sand/gravel ZQ <br /> Filter Pack type/size /..v S)i wo m <br />