Laserfiche WebLink
0 0 <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: l �yZ/U� L � CONSTRUCTION <br /> Premise Address:// 7 S• 71 b �d' 5 l y Total Depth 3� <br /> Screen Length (from) 0 (to)10 <br /> Well No.: (Z/ �'/31 '�� Filter Pack (from) *fin (to)cj <br /> � II Bentonite (from) 9 (to) 8 <br /> Inspector: Grout (from) Q (to) Lc �• <br /> ` p Drilling rig type I 2 <br /> Permit Auger O.D. fj� I.D. 4AILf <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> T height <br /> Consultant IF <br /> / ABOVE•GRCUND c8si Y-B4OX <br /> COMPLETION AW'�/,ytW3 , COMPLETION <br /> SPECIAL PERMIT INFO. Ground Suit'°° <br /> Distance to sewer line "XA-1-k grout <br /> Domestic well on site - (y g h• <br /> If yes, location and distance - ff, <br /> q <br /> O <br /> C <br /> O <br /> SAMPLING dotted c <br /> section — � <br /> Holding Temperature �L = V1VW pact <br /> Method V. Ae - <br /> .r,. — <br /> Screening Metho _ <br /> Tracking Sheet - y n ) . <br /> �� n• = n. <br /> SPOILS <br /> Storage MethodRIALS/DEVELOPMENT <br /> Contamination Noted - /Mn) 61�V(/ q0 <br /> Storage Location L ) St! �o Casing type i <br /> Blank /p ft. Screen 2b fL <br /> Slot size f)•OZ� <br /> GROUTING Bags cement <br /> / Buckets bentonite <br /> Depth to water Bags sand/gravel — <br /> Mix Ratios Filter Pack type/ •ze <br /> Installation Method a�[ Surge Block: - / n ) /,c�� <br /> Quantity Installed Discussed with geologist: /l y// n ) <br /> Type of method <br /> EH 29 29 <br />