Laserfiche WebLink
i <br /> ONITORING WELL INSTALLATION REPC <br /> Date : 71(o 12)l y CONSTRUCTION <br /> Premise Address: a6(z �� a& Jm= Qn4 . S'�/'I Total Depth lf� <br /> Screen Length (from) (to) <br /> Well No.: /M- W'7 Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: ILL L:�a^v P Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> ,At height <br /> Consultant.ATL <br /> Geologist <br /> COMPLETION <br /> CHRISTY-80X <br /> OM?LETlON COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlacr <br /> Distance to sewer line grout <br /> Domestic well on site - ( y / n ) <br /> no <br /> If yes, location and distance - <br /> ft ft. <br /> SAMPLING doral = c <br /> / aac 'cn <br /> Holding Te �rature <br /> Method VO/11 ' _ �avelpadc <br /> Screening Method r' <br /> Tracking Sheet - / n ) 4. _ <br /> ft. = ft, <br /> SPOILS Q <br /> Storage Method SaA �( MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y' ) Z Na/L <br /> Storage Location an - 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 Surge Block: - ( y / n ) <br /> Quantity Installed Discussed with geologist: - ( y / n ) <br /> Type of method <br /> EH 29 29 <br />