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<br /> <br /> <br />3) Sand Packiand.Bentonite Seal <br />a. Size of sand used to backfill <br />Reason size varied from that <br />geologist or engineer: <br />b. <br />Piezometer QA/QC Form <br />Well Desiggnation MVJ-fl <br />Date !o%8/9B <br />Inspector P. C. <br />Page 3 of :.5 <br />hole? 8- (2 me7pf <br />specified by Cotter <br />Depth to which sand pack was placed? /47 Method <br />used,to sound depth to top of sand pack: Wsri-g r i5 i wze wi-rtf <br />-rN'pe 'ia`cF(?cK 9&OTH, CHANGVv TO T2ErM1c LINE BEC&U5E8 aF I)E-P H. <br />Does, sand pack extend 2 feet above top of screen <br />intrval? Yes ? No Reason sand pack does not <br />extend 2 feet.above top of screen interval: <br />beNiwrre f&-,,L rs C. <br />W 6Z.E pO(,&946D 93TO <br />ROLZ Tf"e mr d . <br />Size °of: bentonite chips or pellets used for seal 'above <br />san& pack? <br />Depth to which bentonite was placed? 1.4Zr <br />Method used to sound depth of bentonite seal?. <br />TeEMt! tri,M. <br />4) ???v[P?t?eNZ/ (aRou-roue, <br />a. Volume of annular space between <br />from top of bentonite seal to s <br />__ 14z`foba arm.u,?ed@D.239 <br />b. <br />n? 1"DI'Ae pipe <br />I? kol?e. a?ev?.g w.+.?-c1 <br />S 4A, "" b l,-,k P uc 4-pt . <br />well casing and hole wall <br />Ljr face. <br />+Y/ +_= 33.q ?? = a?4-?? tlaN.S <br />Einplacement of neat cement grout between well=casing.and <br />boreKole wall. <br />F''Volume of neat cement grout emplaced.?. <br />-` Reason 'for variation between. volume of-annular-space. <br />and amount of grout emplaced: <br />lam VOL.CL, if (a ?UMgL?S #8 'beNTOPtTE TAsEO OA51uG SEAL <br />ii) Was grouting operation continuous? Yes ? <br />No Reason for non-continuous emplacement: <br />iii Was there a return of grout to surface? Yes <br />No Reason for variation: <br />•