Laserfiche WebLink
'wiAfONITORING WELL INSTALLATION REPO- <br /> Date: CONSTRUCTION <br /> Zyb� w, yl arty , fT14 Total Depth <br /> Premise Address: Screen Length (from) (to) <br /> Well No.: Filter Pack (from) (to) <br /> i/ Bentonite (from) (to) <br /> Inspector: Grout (from)—(to)- <br /> Drilling <br /> from) (to)Drilling rig type <br /> Permit No. 0�/ � Auger O.D. LD. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant �✓ T <br /> Geologist <br /> ABOVE-GROUND CHM -WX <br /> COMPLETION COMPLETICN <br /> SPECIAL PERMIT INFO. Ground 3urtac& + � <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/ n ) �_n, <br /> If yes, location and distance - n, <br /> n. <br /> = m <br /> — o <br /> SAMPLING &brad _ B <br /> &Kion <br /> Holding Temperature gravel pads <br /> Method = <br /> Screening Method <br /> Tracking Sheet - ( y/ n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location / Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method ISurge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />