Laserfiche WebLink
1%. I TORING WELL INSTALLATION REPC,,../ <br /> Date: CONSTRUCTION <br /> Premise Address: �odJ� S . M r4d- Au4wAqL,, Total Depth 1-7 t <br /> Screen Length (from) Ito (to)_ 7 <br /> Well No.: Filter Pack (from) /-7 (to) <br /> Bentonite (from) Co (to) S' <br /> Inspector: �• ��� `-j . Grout (from) IS (to) -19--- <br /> Drilling rig type Z <br /> Permit No. Auger O.D. <br /> Completion - Stove pi cl 'stie box circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant <br /> Geologist <br /> ABCVF-GRC4JND c.HMM-80X <br /> OOMPLETCN COMPLEMN <br /> SPECIAL PERMIT INFO. Ground Surface + ��• <br /> Distance to sewer line 7 f grout <br /> Domestic well on site - (y ft. <br /> If yes, location and distance - ft. <br /> — a <br /> SAMPLING slorod <br /> •.M <br /> 4secdcn <br /> C_ = <br /> Holding Temperature <br /> >• In Pack <br /> Method gl,G_� t ck2 <br /> Screening Method '— <br /> Tracking Sheet - n ) _— <br /> ft. fL <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y <br /> Storage Location c4 i S[-,\Z Casing type <br /> Blank f3 ft. Screen <br /> Slot size O <br /> GROUTING Bags cement <br /> Buckets bentonite 'L <br /> Depth to water 2 Bags sand/gravel <br /> Mix Ratios 105CSI% Filter Pack type/size L4Q "1�f <br /> Installation Method MA-UL, Surge Block: - (y n <br /> Quantity Installed 61A(tf Discussed with geologist: - On) on STSV' <br /> Type of method <br /> EH 29 29 <br />