Laserfiche WebLink
SONITORING WELL INSTALLATION REP* <br /> Date:���/a O CONSTRUCTION <br /> Premise Address: l/ wz'iae / Total Depth �3 d <br /> Screen Length (from) / / (to) -3 <br /> Well No.: GI� �(1 Filter Pack (from) f q (to) <br /> Bentonite (from) /( 5' (to) <br /> Inspector: Grout (from) nai( (to) / 1 5 <br /> Drilling rig type�� S� <br /> Permit No. J� b s ; Auger O.D. rFl� I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant �� N i E � T <br /> Geologist o r <br /> ABOVE-GROUND TIOND CHRIM-BOX <br /> COMPLETION <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surlaca <br /> Distance to sewer line grout <br /> Domestic well on site - (y/n ) ) J Sn <br /> If yes, location and distance - <br /> IL <br /> q <br /> O <br /> C <br /> SAMPLING dotted = c <br /> socton <br /> Holding Temperature <br /> LMethodScreening MethodTracking Sheet - (y/n <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) r( <br /> Storage Location Casing type y <br /> Blank f <br /> Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water 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 />