Laserfiche WebLink
MOTORING WELL INSTALLATION REPORT <br /> Date: 2 _ CONSTRUCTION <br /> Premise Address: cq 45 0b C_�� Total Depth l <br /> Screen Length (from) (to) <br /> Well No.: Filter Pack (from) —(to) <br /> Bentonite (from) ?5n Cto) <br /> Inspector. Grout (fro{n) Cto) <br /> Drilling rig type <br /> Permit No. Auger O.D. I <br /> ( � Completion - Stove pip stie bo. (circle one) <br /> Drilling Company: �J <br /> Driller. cas::zq <br /> height <br /> Consultant <br /> Geologist ABCyE-GACUNp <br /> C.�.trP��i iC.'N Cl-�ilSTf-30X <br /> �MPL,.�'i lCN <br /> SPECIAL PERMIT INFO.S <br /> grcur <br /> Distance to sewer Line <br /> Domestic well on site - ryy n )If yes, location and dis n- <br /> = a <br /> _ r <br /> — C <br /> SAMPLING ziorni <br /> toctcn _ <br /> Holding Temperature <br /> Method ` _ <br /> Screening Method <br /> Tracking Shcet - / n ) `` <br /> SPOILS <br /> Storage MethoMATERIALS/DEVEI.OPMENT <br /> d � <br /> Contamination Noted - y n ) t Casio e V <br /> Storage Location g ft. <br /> Blank f� Screen <br /> Slot size v �' <br /> GROUTING Bags cement b <br /> 15 Buckets benconite <br /> Depth to coater <br /> Bags sand/gravel l <br /> Mix Ratios Filter Pack typesize <br /> =4�&f ::2 <br /> Installation Method o m\A Q Surge Block: - ( y/ a ) <br /> Discussed with geologist: - (y/ n <br /> Quantity Installed 1 D D a/� ) <br /> _7 Type of method <br /> EH 29 29 <br />