Laserfiche WebLink
OGE OF <br />MONITORING WELL INSTALLATION REPORT <br />Date: /aj 10 <br />Premise Address: FoeG0 g -'DFi - <br />Inspector: �-&- 0/a��e. a <br />Permit No. <br />Consultant <br />Geologist fir, e .- V� <br />Holding Temb4tra <br />Method <br />Screen <br />Trac <br />k,ing Sheet (y/n) <br />SPOILS <br />Storage Method <br />contamination Noted - yes/no <br />Storage Location <br />Distancese <br />Dome stic=catio <br />If yes, <br />•� c <br />6r line <br />n site - yes/no <br />distance - <br />1W <br />Depth to water <br />Mix Ratios /sk aC •$ ? als td. MLr, <br />installation Method eranre <br />Quantity Installed <br />Total Billed Time Per Site <br />Date Permit Finalized <br />CONSTRUCTION <br />Well No. <br />Total Depth °7 <br />Screen Length <br />Filter Pack <br />Bentonite Pellet <br />Grout <br />Completion -Stove pipe Christie box <br />Auger O.D. /o% <br />Auger I.D. 7 xe_ 1 <br />MATERIALS USED: <br />Casing t pe P16C SCA 1/0 <br />Blank ft. Screen ft. <br />Slot size L)-02'� <br />Bags cement <br />Buckets bentonite <br />Bags sand/gravel <br />Filter Pack type/size <br />