Laserfiche WebLink
410NITORING WELL INSTALLATION REPO *I <br /> Date: �z�Z /D �0 T� CONSTRUCTION <br /> Premise Address: S Total Depth :5'?o <br /> /1 s. /3 Screen Length (from) (to) <br /> Well No.: �/ Filter Pack (from) (to) Z <br /> /} � Bentonite (from) (to) <br /> Inspector: `� Grout (from) (to) 3 <br /> �/� F53 Drilling rig type GsuE <br /> Permit No. Y Auger O.D. 8 I.D. <br /> Drilling Company: <br /> Completion - Stove pipe/christie bo (circle one) <br /> Driller: �( T !' tC t "Z74E <br /> casing <br /> height <br /> Consultant <br /> Geologist / T <br /> ABOVE-GROUND <br /> OOMPLEiION ISiY-BOX <br /> COMP ON <br /> SPECIAL PERMIT INFO. ��g�xy <br /> Distance to sewer line G S6 grout <br /> Domestic well on site - (y n 1 / <br /> If yes, location and distance n <br /> L ft <br /> y = <br /> — m <br /> = o <br /> — c <br /> SAMPLING <br /> — o <br /> �/ <br /> A / �/ slotted _ 8 <br /> Holding Temperature ,&)4 %/�U' CO2t 2�610 +eo+on _ ��� <br /> Method !)✓ — <br /> Screening Method <br /> Tracking Sheet - (y/ n ) _ <br /> SPOILS <br /> Storage Method_ /1k. f 64—d l/c MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y ��� &J1- � 1019✓G <br /> Storage Location na iLaixc.¢� A.-c.« Casing type <br /> Blank 53 ft. Screen 3 h. <br /> Slot size 10/0 <br /> GROUTING Bags cement f 3 <br /> Buckets bentonite 50 <br /> Depth to water 3 Z— Bags sand/gravel %Z <br /> Mix Ratios 3U t x T // y Filter Pack type/size <br /> Installation Method Surge Block: - (y <br /> Quantity Installed Discussed with geologist: - (y0 <br /> Type of method <br /> EH 29 29 <br /> & 1"5• /3 <br />