Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: ?3- l— Z.O\z- CONSTRUCTION <br /> Premise Address:_ BbkSAl�?jr�jy�5 }vcl��er Total Depth <br /> Screen Length (from) 45 (to) 50 <br /> Well No.:. -tb W G- ZC- Filter Pack (from) or Z (to) Sy <br /> Bentonite (from) !%Q (to) Z <br /> Inspector: Tent Ta sin?�AQ-5 Grout (from) 0 (to) QO <br /> T Drilling rig type S <br /> Permit No. O t)fo 5 ZA 1 Auger O.D. $" I.D. <br /> Completion - Stove pipe s e o (circle one) <br /> Drilling Company: (-'�scd��e 1���t�,;�l.,Q. <br /> Driller: �,�,�'g,Y casing <br /> ( 9t(�� height <br /> lVrt <br /> Consultant evya�.rn,.a2X ��� �Q� �'X0"P)� � _ u <br /> 3 <br /> Geologist Nkik-e �o�t V- <br /> COWPLETION <br /> A80VCNISAN-80X <br /> ND COMPLETION <br /> SPECIAL PERMIT INFO. tf 11 Ground Surf <br /> Distance to sewer line tm t i Qfout <br /> Domestic well on site - (y)01 40 <br /> If yes, location and distance - tt. <br /> ft. <br /> SAMPLING <br /> O <br /> V = C <br /> u <br /> SAMPLING clotted = <br /> ' wcdon <br /> Holding Temperature 4' <br /> Method CA rn.�_ h a ague! 504E 4 kv+yL� _ � P� <br /> � —_— <br /> ScreeningM— e_� ��b <br /> Tracking Sheer - I'vY n) <br /> SPOILS <br /> Storage Method Q05X, vull- -4 MATERIALS/DEVELOPMENT <br /> Contamination Noted - (3p/n ) <br /> Storage Location An Siff e$? 9* Casing type �L.� Sc.�.ea��t` 40 <br /> Blank 45 ft. Screen S ft. <br /> Slot size O i� <br /> GROUTING Bags cement %3 <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel cy� b So b <br /> Mix Ratios 3AP 1 llu Jas Filter Pack type/size 1`-owtevQ <br /> Installation Method v r Surge Block: - ((D/ n) <br /> Quantity Installed xl Discussed with geologist: - Q:V n) <br /> Type of method `v` me-Q vi,�, Svva, � v&�! <br /> EH 29 29 <br />