Laserfiche WebLink
MC,,,,f ORING WELL INSTALLATION REPORT <br /> Date: �2 ' 1 II' 2. CONSTRUCTION <br /> Premise Address: N +�J �� Total Depth 3 'j <br /> Screen Length (from) <br /> Well No.: - lJ ' 4(01 Filter Pack (from) (to) 33 <br /> Bentonite (from) 3 (to) 31 <br /> Inspector: Grout (from) 3l (to) -D" <br /> Drilling rig type <br /> Permit No. �Z - '�� Auger O.D. I.D. <br /> cl <br /> Completion - Stove pipe u�stle ox (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height _WVF <br /> Consultant <br /> Geologist1-�1�f�tL 1�13'l���i <br /> 171 7:F <br /> ABOVE-GRCUND CNAJS1rY-80X <br /> COMPLETION COMPL.ETICN <br /> SPECIAL PERMIT INFO. Ground Swlwt <br /> Distance to sewer line N I 9fout <br /> Domestic well on site - (y/ n ) ��.ft. <br /> If yes, location and distance - ft- <br /> ft. <br /> ^a = m <br /> SAMPLING <br /> todcn <br /> Holding Temperature <br /> Method ' _ gnvw F <br /> ack <br /> Screenin;Method <br /> Tracking Sheet - ( y/ n ) <br /> ft. = ft- <br /> SPOILS <br /> Storage Method C*J P1.P'�'- 'C _ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location 00 -_,t-116 Casing type <br /> Blank ft. Screen ft. <br /> Slot size C)• o 10 <br /> GROUTING Bags cement <br /> i Buckets bentonite 1 <br /> Depth to water 2O. PD 33 Bags sand/gravel <br /> Mix Ratios a.5 0a'42 / 4.6 6p�_s Filter Pack type/size 2 t2- <br /> Installation <br /> 2Installation MethodAA,p - , i,��' Surge Block: - ( y/0 <br /> Quantity Installed Discussed with geologist: - ( y/�ff) <br /> Type of method <br /> EH 29 29 <br />