Laserfiche WebLink
MONITORING WELL INSTALLATION REPOh. <br /> Date: ��� CONSTRUCTION <br /> Premise Address: 2?D,�) � , �i�-, 77JIn Total Depth <br /> Screen Length (from) O (to) 3 <br /> Well No.:< �Sz"� Filter Pack (from) �_ P (to) <br /> Bentonite (from) z.7:5- (to) /,3- <br /> Inspector: <br /> ,3Inspector: -�� Grout (from) 1-5— (to) S <br /> Drilling rig type6L 54- <br /> Permit No.- - `� Auger O.D. '' <br /> / Completion - Stove pipe Christie bo (circle one) <br /> Drilling Company: l <br /> Driller: �G�,l� casing <br /> he_ght <br /> Consultant � C��C , <br /> 7, 0 Geologist Ci -- <br /> ABOVE-GROUND CNACSTY-80X <br /> COMPLETION COMPLETICN <br /> SPECIAL PERMIT INFO. (around Surfacs <br /> / <br /> Distance to sewer line proof _ <br /> Domestic well on site - (y/ n ) �•s ft. <br /> If yes, location and distance - <br /> �_ft. ^5- ft. <br /> m <br /> n:. p <br /> SAMPLING <br /> 6� soden <br /> Holding Tempera e = Sxavd pack <br /> Method t` ��:, �S _ <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> ft. <br /> SPOILS <br /> Storage Method As I��tiY•-S' _MATERIALS/DEVELOPMENT_ <br /> Contamination Noted n ) <br /> Storage Location Casing type `7` J'�/��, V-22,dve- <br /> Blankft. Screen <br /> Slot size CP 2-,C) <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water ��� Bags sand/gravel _ <br /> Mix Ratios Filter Pack type/j' a - ? <br /> Installation Method z,_T. Surge Block: -c <br /> Quantity Installed Discussed with geologist: - (®/ n ) <br /> Type of method <br /> EH 29 29 <br />