Laserfiche WebLink
r <br /> MONITORING WELL INSTALLATION REPORT <br /> Date:161;l 7- 9 CONSTRUCTION <br /> Premise Address:s�]SO tr " e( �1u� `PI-5 tt Total Depth V�- 'A <br /> Screen Length (from) 7 (to)>L <br /> Well No.: ALV Filter Pack (from) '1-1 (to) Y5 <br /> Bentonite (Ecom) Yr (to) <br /> Inspector. K" ' Grout (from `17 (to) <br /> Drilling rig ty$e <br /> Permit No. Auger O.D. I.D. l2 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing. <br /> Consultant C� - � height <br /> � � <br /> Geologist �MiKs a T <br /> . A-PnVE-GRCUND C:t•F1SiYK30X ' <br /> COh4'L�fiON VUAPLL-TICN <br /> SPECIAL PERMIT INFO. Grord <br /> Distance to sewer line L " k'' prx <br /> Domestic well on site.- (y/n) <br /> If yes, location and distance - Sp S h <br /> h. <br /> r = c <br /> SAMPLING A' n o JSIS ilorai <br /> UUc <br /> socicnqq <br /> Holding Temperature _ pzvd;z�c <br /> Method Ai _ �c <br /> Screening Method y. <br /> Tracking Sheet - (y/ n) 72,d— <br /> tt. - — <br /> SPOILS <br /> Storage Method MA SIl MATERIALS/DEVELOPMENT <br /> S <br /> Cont3minadon Noted - (y,On 9 <br /> Storage 1,6cadorL Casing type <br /> Blank 7 fr. ScreenZL. Z -ft <br /> Slot sizeoto <br /> GROUTING Bags cement It '¢7' <br /> Buckets bentonite )s. <br /> Depthto tvater Bags sand/gravel ` .`�11 c'' — <br /> Miz Rados .. - r Filter Pack type qe 2 <br /> dpstalladon Method' Surge Block: - U)/ n ) <br /> Quantity Installed r t Discussed with geologist: - n ) <br /> Type of method 6-AA i <br /> EH 29 29. . <br /> O <br />