Laserfiche WebLink
MONITORING WELL INSTALLATION REPOni <br /> Date: 11-1/ 'Q `3dP, CONSTRUCTION <br /> Premise Address: l0'0/0 w4- <br /> / Total Depth tf'D <br /> Well No.: Screen Length (from) (to) 55 <br /> Filter Pack (from) (to) <br /> Bentonite (from) (to) `_S- <br /> Inspector: Grout (from) 1 (to) 3 -- <br /> Drilling rig type sE <br /> Permit No. Auger O.D. 5�1 I.D. <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Driller: V ( �At / C `;7c casing <br /> height <br /> Consultant /LIQ/CV <br /> Geologist (}dYl? G2- _ T <br /> /ABOVE-GROUND <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground gurfxy COMPLETION <br /> Distance to sewer line grout <br /> Domestic well on site - (y n s <br /> If yes, location and distance - y tt• <br /> 53ttf>q ft. <br /> = m <br /> — o <br /> = m <br /> SAMPLING <br /> slotted = <br /> wc5on — - <br /> Holding Temperature <br /> Method <br /> Screening Method <br /> Tracking Sheet - Cy/ n ) — <br /> SPOILS <br /> Storage Method 67h f U-vio& 11, 0%1xZi.. MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) �— Q <br /> Storage Location Casing type Zu ' VC- <br /> Blank 3l ft. Screen 3 fr. <br /> Slot size <br /> GROUTING Bags cement <br /> / Buckets bentonite <br /> Depth to water i] Bags sand/gravel / r2 <br /> Mix Ratios // 3 Filter Pack type/size /Z <br /> Installation Method <br /> Surge Block: - (y n <br /> Quantity Installed Z8 Discussed with geologist: - (y� <br /> Type of method <br /> EH 29 29 ��� <br />