Laserfiche WebLink
1/EGL�iRINC- WELL iZ L� <br /> SiA �LION �'J <br /> � ML � <br /> Y <br /> i <br /> � I <br /> E Date: CON;TI.MW IZON <br /> Premise ,address: � D Tocal Depth <br /> Steen Le-^ `� CEs�om}�� Cto) �'p� /rI�J"✓� <br /> Well No.: Filter pac=t (from) 6�. <br /> Bentonite (fram) 4,7-' (to)._ <br /> Inspector. Grout CErom (Co (02 <br /> <j Drilling tig`type !� <br /> Pe:.rit�fo. Auger OZ` M I-D. 1 <br /> Comoletiom- Stove pipe/ccsriisde box (circ!e one) <br /> Drllin; Company: I <br /> ♦ �r'cas=ng <br /> he;ght <br /> Cors3ltznt <br /> Geolo st <br /> �/ I G Cr�rd Sufzca � <br /> S?=rl�rycRti4lT INFO. (y { <br /> Distance to sewer lute <br /> Dornesdc we;-1 on site - ( y/ n) <br /> If yes, location and distance - A. ` <br /> — -3 <br /> iEOGod •• <br /> Seto;IVC - <br /> o gzvot YaG+c <br /> Folding Tempera f e — <br /> `~u — <br /> Method — <br /> Sc:eening Mena ` 1 <br /> Tracking Sheet - ( y/ a) tY- <br /> i <br /> SPCILS i <br /> Storage 1+1e*l:od MA i SRU ;/DEVcLOpNLy'P <br /> 11 Contaminadon Noted - / n } # * G <br /> Storace Location asing ryPe <br /> Blanc CU ft. Sceen,�3_ft_ <br /> SIoc size nZa <br /> C OUT-,NG Bags cemezc 11 <br /> � � } o <br /> Bucce.s be.*ttorute <br /> c o ware <br /> Ba saadlZmveO- <br /> DeI . Rados Fi1cer Pack ty.Wsize <br /> Izstallatior. od Sure 3loc?t - { <br /> Installed p g'p , <br /> Disvussed ;vuaeolo :st: - n h ) <br /> Qua::r'rf <br /> Type of method <br /> I� <br /> 12, 1W 34 <br />