Laserfiche WebLink
MONITORING WELL INSTALLATION K. AT <br /> Date: /I�� ION, CONSTRUCTION <br /> Premise Address: dfto C Total Depth <br /> } 7 Screen Length (from) (to) <br /> Well No.: / / ) Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: _ �� Grout <br /> (from) (to) <br /> _ Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Driller: <br /> TT casing <br /> height <br /> Consultant <br /> Geologist <br /> ABOVE-GROUND <br /> COM?LETION C-SZTY48OX <br /> SPECIAL PERMIT INFO. Ground Suriac9 COMPLETION <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n ) <br /> If yes, location and distance - n <br /> ft. <br /> = m <br /> = m <br /> SAMPLING <br /> slotted — d <br /> sacdon — � <br /> Holding Temperature = <br /> Method V'VW Pack <br /> Screening Method <br /> Tracking Sheet - (y/n ) _ <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type_( �+S`� �U )p w <br /> Blank q 7 ft. Screen z h. <br /> Slot size 15.0/0 <br /> GROUTING Bags cement er+.t-&&k <br /> ' Buckets bentonite Sb <br /> Depth to water Bags sand/gravel DU <br /> Mix Ratios/YLC Filter Pack type/size <br /> Installation Method_ /'�y� Ltrge— Surge Block: - (y/©) <br /> Quantity Installed Discussed with geologist: - n ) <br /> Type of method v <br /> EH 29 29 <br />