Laserfiche WebLink
'ONITORING WELL INSTALLATION REPO <br /> Date: CONSTRUCTION <br /> Premise Address: Total Depth 4�> <br /> Screen Length (from) 3 _fl (to) 6 <br /> Well No. 1 _3 Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: „ Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. T.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> Consultant <br /> T height <br /> Geologist ^T <br /> ABOVE-GROUND C,-S*'TY4= <br /> COMPLETION COMPLmON <br /> SPECIAL PERMIT INFO. Groin Sudl <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - � <br /> 41�- <br /> SAMPLING slotted v <br /> Holding Temperature gravol <br /> Method AO r <br /> Screening Method ' <br /> Tracking Sheet - [y/ n ) <br /> I fL 't = 4t. <br /> SPOILS <br /> Storage Method MATERIALS EVELOPMENT <br /> Contamination Noted - [y/ n ) <br /> Storage Location Casing type <br /> Blank ft Screen h. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water 0 Bags sand/gravel <br /> Mix Ratios Filter Pack type/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 />