Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> I J <br /> i <br /> Date:_ //� CONSTRUCTION <br /> f��Ml✓ OGL GsYlyjZ/� !%A�iaftff <br /> Premise Address: ( r "Z✓ Total Depth <br /> Well No.: OA13�- lip 0 Screen Length (from)' I& ' (to) NO <br /> Filtet Pack (from)_ 415" (to)_ 1,341 , <br /> Inspector: Bentonite (from) 131 (to)_ 1133� <br /> Grout (from) 133 (to) D <br /> Drilling rig type ^h ,r.Qo�9" rifi,I9 v1cti,v� <br /> Permit No. Auger O.D._ G S/-1/ ' I.D. <br /> Drilling Company: o(� Completion - Se-�i�e/christie box (circle one) <br /> �' //��G/,�,X C� <br /> Drillei:: IKlet) Vern, casing <br /> j <br /> Consultant height <br /> �}/LG�jIS <br /> Geologist__ <br /> .BONE-GROUND <br /> cowLETION C�-n STY-Scx <br /> SPECIAL PERMIT INFO. CoMPLET c)N <br /> Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n) i33 <br /> If yes, location and distance - ft. <br /> • ��p l36 ft. <br /> ft. <br /> = r <br /> SAMPLING — o <br /> Holding Temperature <br /> Method gnvW Pack <br /> Screening Method <br /> Tracking Sheet (y/n) _ <br /> tt. /Gs tt. <br /> SPOILS LiSN�� <br /> Storage Method_ Nroasl MATERIALS/DEVELOPMENT <br /> Contamination Noted - (9/n) <br /> Storage Locations//,,C �{i4 „� ��✓ ,�LL/ 19 Casing type S18 go PVC <br /> /�^6J AipA °�✓ Si4pl,,, prdpP/t� Blank /y0 ft. Screen 2i0 ft. <br /> Slot size 0.0y <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel_ /1 QD/tis /�ASpGrT! ra,►J�= <br /> Mix Ratios <br /> Installation Method Filter Pack type/size 43 Sjutg :f►`?V►h <br /> _______ _Surge_Block:=(�/ <br /> Quantity Installed Discussed with geologist: - n) <br /> EH 29 29 Type of method V <br />