Laserfiche WebLink
_MONITORING WELL INSTILLATION REPORT <br /> -Date: 1 20 cl ,- _ T T � CONSTRUCTION a <br /> r- Premise Address: S• La,\yrn w���„g - Toral Depth <br /> T Screen Length'(from), s `` (to) zc� <br /> .... Well No. Yin U-)'y ...- Filter Pack (from) 9, ..—(to) 2-Q � <br /> Bemmnite (from) 3.5 ` -(to).. !� ` <br /> - Inspector. n 1 nnnr rk L „ . _-- Grout (from).. 0 (to) 3:S <br /> 6 3�I ,. Drilling rig type w _ <br /> - Permit No. Q1 Auger O.D. I.D. <br /> Completion-Stove pipet rstie'Yboz circle one) <br /> Drilling.Company 5,g <br /> - -DrMer: .Ck:q C”. Q-\C l- cas;aq <br /> height <br /> -- <br /> 'Consultant till�) }C,L r�1��,.c (a.r T V , <br /> . _ _Geologist --.. .._.._. , � .. _.... - ` i . <br /> ABCv4-GaoX0 - <br /> �IrPL..�T'AN {HRM-4Y-80X <br /> k <br /> SPECIAL PF-D-WT INFO. m - -` -'7 Gr.%nd Sutam <br /> yDistance to sewer line <br /> - <br /> Domestic Welt On SIte - {y/ } tL <br /> If yes, location and distance" - f� _ „�,- t1tL <br /> �� _... <br /> — _ <br /> 1 + - — <br /> SAMPLING <br /> s�.on r <br /> Holding Tempera. tur_e __ - Pack, _ r_ <br /> . --Method S o-eV-t <br /> Screening Method <br /> Tracking Sheet.. ¢[/ n) - FEI 2�r-) fL- <br /> . <br /> t SPOILS <br /> Storage Method �- MATERIALS/DEVELOPMENT <br /> Contamination Noted - (yn <br /> } - <br /> Storage Location / . "}" ,Casing type-�V <br /> Blank S __fr. Screen ft. 4 <br /> Slot size . o Z_C7 - <br /> - <br /> GROUTING. _ Bags cement <br /> Buckets bentonite <br /> .•-_ Depth to water VO� Bags sand/gravel ` o� <br /> Mix Ratios Llo Filter Pack type/size__ `� <br /> .. Installation Method Surge Block - <br /> d ` <br /> Quantity Installed_ N o rn ucr✓J - , " Discussed with geologist: - y <br /> f - - <br /> _ y Type o method <br /> EH 2929 + - _ <br />