Laserfiche WebLink
MONITORING WELL INSTALLATION REI--:'LT <br /> Date: `" 2� s ed )00� CONSTRUCT-ION ` I <br /> ��QC Total Depth <br /> ?remise Address: ��� O y <br /> S <br /> een Length (from) 1 "Zgl (to) <br /> J Filter Park (From) (to} <br /> Well No.: Bentonite (from) (to)� <br /> f" Grout (from) (to) C <br /> inspector: t Drilling rig type <br /> t)I l 1 Auger O.D. I.D. <br /> ?ermit No. 1 Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> �l ca3ing <br /> Driller. 7 I - height <br /> r C� <br /> Consultant <br /> Geologist 04RiS7'!-3CX <br /> C�fvP� -.CN C---MPCN <br /> Ground S+e,acs <br /> SPECIAL PERMIT INFO. , <br /> gr Out <br /> Distance to sewer line 1 <br /> V <br /> Domestic well on site - Y n ) `L <br /> If,yes, location and dis e � <br /> clad y <br /> SAMPLING 1,� cry =f <br /> " <br /> Holding Temperature <br /> J <br /> Method Plant a <br /> c7l '1sz� <br /> Screening Method b <br /> !/ , __:. <br /> Tracking Sheet - C Y/ n = y, <br /> IL _— <br /> SPOILS v <br /> TERIALS/DEVELOPMENT 1 <br /> Storage Method O <br /> Contamination Noted ( y/ ) S tc�rtr F`^ Casing e <br /> Storage Location Blank 1 Se� —h <br /> Slot size 1 <br /> 1d Bags cement <br /> GROUTING Vsr jay I l Buckets bentonite <br /> 2 a'� clprA Bags sand/gravel <br /> Depth to water VJep Filter Pack type/siz <br /> Mix Ratios Surge Block. - (Yn <br /> installation Method Discussed with geo �ir- - C y/ n) <br /> Quantity Installed VN Type of method__.- <br /> EH 29 29 W) A <br /> � <br /> Pb a��t.�k 1 91 <br />