Laserfiche WebLink
'ONITOPJNG WELL INSTALLATION REPO' <br /> CONSTRUCI30N <br /> Date: <br /> Premise Address: Total Depth <br /> Screen Length (from) (to)— — <br /> WeII No.: Filter Pack (from) (to)� <br /> Bentoake (from)_ (to) <br /> Grout (from) _ —(to) <br /> Inspector. _ <br /> Drilling rig We <br /> Permit No. <br /> Auger O.D. I.D. <br /> Completion - Stove pipeJch.ristie box (circle one <br /> Drilling Company: <br /> cas,nq <br /> DrilIer: + 7�7 he_ghe <br /> Y � 1 <br /> Consultant r, <br /> Geologist <br /> A80VE-GFiG`l.fNi] 013ifS1`C-3OX <br /> CJt�L°T;CN CCb{PLC_MCN <br /> SPECIAL PERT INFO. Saga <br /> MI <br /> grccst <br /> Distance to sewer line <br /> Domestic well on site - ( y/ n ) <br /> If yes, location and distance - - <br /> ft. . ... — <br /> r <br /> C <br /> 0 <br /> SAMPLING siora� = c <br /> sac;cn '� <br /> Holding Temperature — gnVO4 <br /> Pack <br /> Method <br /> Screening Method <br /> Tracking Sheet - ( y/ n ) <br /> SPOILS <br /> Storage Method MATEWALSMEVEI.OPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing�e <br /> Blank ft, Screen ft. <br /> Slotsize <br /> GROU77NG Bags cement <br /> Buckets bentonite <br /> Depth to waren Bags sand/gravel <br /> Mix Ratios Filter Pack Me/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 />