Laserfiche WebLink
MONITORING WELL INSCALLAII REPORT <br /> CONS ON <br /> Date: <br /> Total Depth (to) <br /> Premise Address: Screen Length (from)_—(to) <br /> Filter Pack (from)__— <br /> Well No.: Bentonite (from) (to) <br /> Grout (from)— (to) <br /> Inspector. Drilling rig type <br /> Auger O.D. - I•D. <br /> Permit No. Completion - Stove pipe/cluisde box (circle one) <br /> Drilling Company: <br /> Fml <br /> � cas_nq <br /> Driller: he_ght <br /> Consultant <br /> Geologist <br /> ABOVE-GFICUND �:S -Box <br /> tXI W LMON CpNo—zz–noN <br /> �...C-r.urxi Satan <br /> SPECIAL PERM[T INFO. OrwK <br /> Distance to sewer line ft. <br /> Domestic well on site = (y/ n) ft. <br /> if yes, location and distance - ft _ <br /> SWPUNG socicn <br /> Holding Temperature <br /> Method <br /> Screenin;Method <br /> Sheet - (Y/ n) <br /> Tracking <br /> Zb <br /> SPOILS <br /> MATERI ALS/DEVE[.OPMEN[' <br /> Storage method ( u put,/ — <br /> Contamination Noted - (Y/ n) Cuing type + <br /> f <br /> t Screen_ <br /> Storage Location tsSlooize <br /> Bags <br /> cement <br /> GROLMNG Buckets bentonite <br /> Bags sand/gravel <br /> Depth to water Fllter Pack type/stzh <br /> Mik Ratios LaA Surge Block: - (Y/t1) <br /> ipstalladon Method Discussed with geologist: - (Y/ <br /> Quantiryinstallcd Type of method <br /> EH 29 29 <br />