Laserfiche WebLink
MONrrORING WELL INSTALLATION P0-,.,&T <br /> ZOO CONSTRUCTION <br /> Date: <br /> Total Depth <br /> ?remise Address: r Screen Length (from) (to)__ <br /> Filter Pack (from) (to)— <br /> Well No.: Bentonite (gym) Cto)-- <br /> in l of Grout (from) Cto)__ <br /> Inspector. Ding rig type I D <br /> Auger O.D. <br /> Permit No. Completion-Stove pipe/chrisd box (circle one) <br /> Drilling Company L <br /> casiag <br /> Duller: height <br /> Consultant '`- r <br /> Ge t Q/` it AXNE-GROUND a.�.aox <br /> OCWLEMN 1 TCN <br /> Ground Sufaa <br /> SPECIAL PERMIT INFO. <br /> r- grout <br /> Distance to sewer line 1 �_ <br /> Domestic well on site - ( y <br /> If yes, location and distance - l �✓ <br /> 54(f,V <br /> Y- <br /> s <br /> x1oZTed `a <br /> SAMPLING <br /> Holding Temperature <br /> 7"Pack <br /> -Method <br /> Screening Method <br /> Tracking Sheet - ( Y/ a) <br /> fL ~ — M <br /> S\ <br /> SPOILS <br /> MA �,S/DEVELOPMENT <br /> Storage Method '— <br /> Contamination Noted - (y/ a) ming type <br /> Storage Location Blank Screen ft. <br /> Slot size <br /> n Bags cement <br /> GROUTING <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Depth to water Filter Pack typesize <br /> Mix Ratios Surge Block. - C y/ a ) <br /> installation Method Discussedwith geologist: - C <br /> Quantity Installed Type of method <br /> EH 29 29 <br />