Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT 1 1 U <br /> no14 ICAlanocj t� l'rGJ1 This <br /> a"c `,h �SA`�� o to <br /> 'DA ,ra 4 n abO0+ pen arriVi <br /> ro o f i n 'J" <br /> iS Lrl2� <br /> Date: arlvaY �1 2VO CONSTRUCTION <br /> s�rte�r1 I s 3S' - lLS; YIOt3S 26 <br /> Premise Address: 0'94 q L D o yn is �d, Total Depth_ 3 5- S C, <br /> Screen Length (from) (to) S` <br /> Well No.: yy - Filter Pack (from) 357 (to) 13 <br /> Bentonite (from) 13 (to)_ 11, <br /> Inspector: a r4a e W Grout (from) IL 8 (to) Su r-�k c z- <br /> I — Drilling rig type 0-02 E Is- <br /> Permit No. DD 9'? D ,2 7 Auger O.D. 10 in � I.D. <br /> TT Completion - Stove pi sti be o (circle one) <br /> Drilling C�o(mpany: I�e 5 O rt Q rJ- -" .G bib, <br /> Driller: 'V r L�q►'�v rs1774rrifo casing <br /> d »1 i!n Q 1'1 PY f � Td �- <br /> /1 height . <br /> Consultant <br /> Geologist iAn 4k--n t r7Gi ex <br /> ABOVE-GROUND <br /> COMPLETION <br /> TWON <br /> SPECIAL PERMIT INFO. �, {.�, l Ground Surface <br /> Distance to sewer line I Y1 k'A0 w n 0 1 0 PPm grout <br /> Domestic well on site - (y/0I - d <br /> If yes, location and distance - S 0 3 <br /> a0 ' 0.2, � ft. <br /> 0,3 � <br /> — m <br /> SAMPLING = <br /> stoned _ <br /> J sacdon = <br /> Holding Temperature 4 G _ <br /> Method i — Q"`w Pack <br /> Screening Method <br /> Tracking Sheet - 40 n ) — <br /> 35- <br /> SPOILS <br /> SPOILS <br /> Storage Method 5 */ l /YI y Y+- MATERIALS/DEVELOPMENT <br /> Contamination Noted - n <br /> Storage Location Casing type <br /> Blank______j 5- ft. Screen 2.0 ft. <br /> Slot size U. 0.)-o <br /> GROUTING Bags cement b 47 Qb <br /> Buckets bentonite a 50 If, <br /> Depth to water Bags sand/gmvel 1A l/)/) & fir LJs1r� <br /> Mix Ratios vikr "D 4G�//rnS Filter Pack type/size �2 <br /> Installation Method a GVAa� Surge Block: - (y/ n1)� <br /> Quantity Installed ! h� Discussed with geoSt. - ( y 14 j, <br /> Type of method <br /> EH 29 29 <br />