Laserfiche WebLink
MONITORING WELL INSTALL4.TION REPORT <br /> Date: D_'D CONSTRUCTION <br /> Premise Address: AVF_ �j Total Depth a / <br /> Screen Length (from) (to) 5 <br /> Well No.: � Filter Pack (from) (to) — <br /> Bentonite' (from) (to) <br /> Inspector: I/. 1A1PAih- Grout (from) �O -(to)�— <br /> Drilling rig e <br /> Permit No. (y�6 Auger O.D. I.D. <br /> Completion - Stove pipe/chnstie box (circle one) <br /> Drilling Company:. At IW- ,v <br /> Driller:_ 'C l )C casing <br /> height <br /> Consultant /cO Z /41 L� <br /> Geologist ._ <br /> A30VE-GROUND <br /> C.7Mi'LETfON CiRZ Y-BOX <br /> COMPLET.ON <br /> SPECIAL PERMIT INFO. Ground Surfacs <br /> Distance to sewer line �'o� �J grout <br /> Domestic well on site - (y A0 <br /> If yes, location and distance <br /> �ft. <br /> _ a <br /> o -r wo — <br /> P <br /> SAMPLING 2)v f <br /> —/-b <br /> 6)jM"_' aec ion _ 2 <br /> Holding Temperature = P <br /> ack <br /> Method 0, C — <br /> Screening Method L __ <br /> Tracking Sheet - 5'/n <br /> - — <br /> tt. `= — ft. <br /> SPOILS <br /> Storage Method �S �� MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) t/«Q <br /> Storwa e�Iocati�n SEG�j� /rjZt;/� Q� S/ Casing type l b L <br /> ��//// ��� Blank ft. Screen ft. <br /> Slot size <br /> GROUTING _rV 7�v� —Y Bags cement X 7 <br /> / Buckets bentonite _56' l <br /> Depth to water 't --3 L Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method 6iW-va2i sikti_ FAU_-_ S,urge Block:.- (.y_/ <br /> Quantity Installed f Z� ,�!L_PA�-� Discussed with geologist: - y n ) <br /> �Z7'r`�S �- � U7►"'� l ' J lj C(3 F�� ' of method /c _ t3�.c� �. ��4CF <br /> EH 29 29 �J � � Id, <br /> a Ft,LL <br />