Monitoring Well Construction Log Form
Use this form to document monitoring well construction details, site information, materials, depths, conditions, and completion status for a construction log entry.
Project and Site Details
Project Identifier / Log Number
*
Site Name / Location
*
Date of Construction Log Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Crew Lead / Inspector Name
*
Well Construction Specifications
Monitoring Well ID / Designation
*
Well Type / Purpose
*
New Installation
Replacement
Redevelopment
Repair
Other
Borehole / Well Depth (ft)
*
Casing Material
*
PVC
Stainless Steel
HDPE
Other
Screen Interval / Depth
*
Completion and Conditions
Filter Pack or Backfill Material Used
*
Development Method Used
*
Please Select
Air lift
Bailers
Surging
Pumping
Other
Water Level at Completion / Not Measured
Construction Issues or Observations
Final Status
*
Complete
Incomplete
Requires Follow-up
Submit
Should be Empty: