Laserfiche WebLink
Sent By: HP LaserJet 3100; 44; Dec-1 -•7:11AM; Page 315 <br /> •4 <br /> 10NITORING WELL INSTALLATION Rv6k <br /> Date: 16� CQn]jLUCTTON <br /> Premise Address: Lig tOl n t Total Depth,, <br /> Screen Length',(from) (to) _ <br /> Well No.: k5D Filter pack (from) (to) (sdJ <br /> Bentonite (from) •S y, _(to) Sb� <br /> Inspector: Grout (from)�(to) ' <br /> Drilling O.D. V6 <br /> Permit No. Auger .A. I.D. <br /> rr Completion -Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: \ casing <br /> 'h®ight <br /> Consultant —aw–f <br /> Geologist ��en�� ,_ <br /> A80VE-8ROuND q.W&N-BOX <br /> COMPLETION COMPLenON <br /> PECIS AL PERMIT INFO – r.. cirwrd sutau <br /> ptovl <br /> Distance to sewer line <br /> Domestic well on site - (y/ n) ft. <br /> if yes, location and distanee:_ 1t- <br /> ft. N; <br /> p <br /> pw Y <br /> Ofl <br /> Holding Temperature ._ gray.l yack <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/ n) F. <br /> O(S <br /> Storage Method MATERIALS/DEVL+LOPMINT <br /> Contamination Noted - (y/n ) �W <br /> Storage Location Casing type ft <br /> Blank ft. 5aeen <br /> Slot size_ 0!a <br /> GROUTING Bags cement''. <br /> Buckets bentonite <br /> Depth to water, Bags sand/&Mvel <br /> Mix Ratios Filter Pack type/size <br /> installation Method Surge Block:'- (y/ nn <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> Type of method <br /> EH 29 29 <br />