Laserfiche WebLink
. ,ONITORING WELL INSTALLATION REPOr.: <br /> Date: 7,11D o CONSTRUCTION <br /> Premise Address: �2I� 221 1 ' ) Total Depth 1!5 <br /> Screen Length (from) If) (to) <br /> Well No.: Filter Pack (from) 715 (to) (o <br /> Bentonite (from) (08 (to) (06 Z <br /> Inspector: Grout (from) 4(g 1--(to)- 3 <br /> t/ pp Drilling rig type - 2M <br /> Permit No. Auger O.D. g I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: � <br /> Driller: _.4+ ovx - casing <br /> d 1 height <br /> Consultant JV 6 <br /> Geologist 46ZI, L��� - <br /> ABOVE-GROUND CHRiSTY-BOX <br /> COWPLET;CN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line G grout <br /> Domestic well on site - n ) W aft. <br /> If yes, location and distance - - 3�, 'tL6 ^_ ft ft <br /> - Q <br /> C <br /> O <br /> SAMPLINGHol <br /> �� � wc�on — <br /> Met] Tempe = „� <br /> Method (��' — � � <br /> Screening Method O v M - <br /> Tracking Sheet - / n ) / <br /> �ft. = ft. <br /> SPOILS <br /> SGC/ <br /> Storage Method - MATERIALS/DEVELOPMENT <br /> Contamination Noted - n 0 ,Q ^ <br /> Storage Location it1 - Casing type 2- T l� <br /> Blank ft. Screen_ ft. <br /> Slot size <br /> GROUTING Bags cement I t <br /> Buckets bentonite rVo <br /> Depth to water = Bags sand/gravel I0 <br /> Mix Ratios t 11 Filter Pack type/si0�1 <br /> Installation Metho d Surge Block: - (y <br /> Quantity Installed Discussed with geologist: - (y Ao <br /> Type of method <br /> EH 29 29 <br />