Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: I-R-ZO1L CONSTRUCTION <br /> Premise Address: 30I5 N atc. ) S�ocic}e� Total Depth q S <br /> Screen Length (from) 165 (to) 95 <br /> Well No.: 71b/-T--Z3> Filter Pack (from) 4Z (to) 9C <br /> Bentonite (from) Ro (to) S- <br /> Inspector: Ted T25�onoytos Grout (from) O (to) <br /> Drilling rig type CMC <br /> Permit No. Op(as 7Ja I Auger O.D. I.D. 4—y- <br /> -r� Completion- Stove pipe stie box (circle one) <br /> Drilling Company: �'.asCalo Vritit�o . 1..1�. <br /> Driller: _ Yv Sia✓ casing <br /> / height <br /> Consultant V.X.Wny.,,,,,aK'Vk �echnol.�eies r��rwQ�Zwbc , �, <br /> Geologist MWA, �,olA <br /> ABOVE-GROUND <br /> COWLETfCN CHR3'IY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlx <br /> Distance to sewer line t0V 4P- grout <br /> Domestic well on site - (y,(2v) tt <br /> If yes, location and distance - <br /> r- ft. <br /> ft. <br /> — a <br /> R <br /> _ R <br /> C <br /> SAMPLING Rotted c <br /> O �YC70❑ - '� <br /> Holding Temperature L — <br /> gti P-* <br /> Method G,nb. W•sv�f1 A��<RlaL c»w� _ <br /> Screening Method TI D c <br /> Tracking Sheet <br /> tt. <br /> SPOILS <br /> rfr♦ <br /> Storage Method <5", Yott� 4 MATERIALS/DEVELOP&M <br /> Contamination Noted -(3/n ) <br /> Storage Location V1G.f 5�c CA SAc Casingtype -Za scinc.AJ-� � <br /> Blank SS ft. Screen to ft. <br /> Slot size C7,n% -;vtL, <br /> GROUPING Bags cement 2--1. 47 16 <br /> Buckets bentonitejk6 <br /> Depth to water E Bags sand/gravel�Q lb _ <br /> Mix Ratios Sit- t6s c; �p duns Filter Pack type/size_ re. 2.. <br /> Installation Method v r 0i a Surge Block: - (®'n ) <br /> Quantity Installed Discussed with geologist: - n) <br /> ^ Type of method Sorev,a(1 rraa_Tv � I�� <br /> EH 29 29 <br />