Laserfiche WebLink
MONITORING WELL INSTALLATION REPOk iC <br /> Date: Al �.1P� 3�f �0 /� CONSTRUCTION <br /> Premise Address: c2.2.2 „ Total Depth <br /> Screen Length (from) 2 9 (to) 9 ' <br /> Well No.: I/1!-9 Filter Pack (from) ,!3 (to) 7 ' <br /> Inspector: V"&L, Grout <br /> (from) '2'1 (to) <br /> o <br /> (from) 5 (to) <br /> Drilling rig type (aW1- <br /> Permit No. S Auger O.D. g, 2,r " I.D. 4, 2,S— <br /> Completion - Stove pipe stie box (circle one) <br /> Drilling Company:_ 1�45 1 �D r11; (��J <br /> Driller: casing <br /> Carlos More-ao % Er ffa E-trc/ a height <br /> Consultant Ady rLN L - LCl�c�irdn � <br /> Geologist_ -D4 h " P"l V le-da, •- <br /> ABOVE-GROUND <br /> (VON <br /> COM?LETON <br /> SPECIAL PERMIT INFO. r Ground Surface <br /> Distance to sewer line r s'f Croul <br /> Domestic well on site - (y/ n s ft <br /> If yes, location and distance - ft <br /> ft. <br /> - O <br /> J�. O <br /> a' C <br /> SAMPLING _— o <br /> S X" slotted <br /> U o Q sacton <br /> Holding Temperature DVl4 <br /> X. <br /> Method �JL} '' �_ �"' Pack <br /> . <br /> Screening Method <br /> Tracking Sheet ( y/ n ) /1/ <br /> ,:;6 ft. it. <br /> SPOILS <br /> Storage Method ��1✓ —GtA�l �I j/yyl s _ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n 0G17Q�(Y <br /> Storage Location a».T i Lv�ta-� Casing type <br /> Blank `� ft. Screen .2-Q ft. <br /> Slot size_ D Q zz d ` <br /> GROUTING Bags cement -1 d s 4-7-)1, o, -JI- <br /> /� Buckets bentonite <br /> Depth to water / Bags sand/gravel <br /> �o <br /> Mix Ratios �'X, 5-0A//,,,,r e P 6 lIG or ct Y?-1 b Filter Pack type/size �3 <br /> Installation Method A L /rjL 6 bay Surge Block: - y//n ) <br /> Quantity Installed v Discussed with-geologist: - n ) <br /> Type of method_ 4`11 <br /> EH 29 29 <br />