SITE DATA SHEET

WATERLOO BARRIER® GROUNDWATER CONTAINMENT SYSTEM

SITE LOCATION: ___________________________________________________________

OWNER: ___________________________________________________________

CONSULTANT/ENGINEER:

Company: ___________________________________________________________

Address: ___________________________________________________________

Contact: ___________________________________________________________

Tel: ___________________________ Fax: ___________________________

SITE DESCRIPTION:

Access: ___________________________________________________________

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Topography: ___________________________________________________________

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(attach plan showing location of buildings, infrastructure, overhead wires, buried lines, water courses etc.)

GEOTECHNICAL DATA:

Summary of Main Soil Types:

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(attach representative drill logs with soil profiles and blow counts, and plan map showing location of proposed installation with respect to drill holes)

HYDROGEOLOGIC DATA:

Depth to Water Table: _____________ Annual Fluctuation: _____________

Aquifer Thickness: _____________ Groundwater Flow Direction: _____________

GROUNDWATER CHEMISTRY:

Contaminants Present

CompoundMaximum Concentration
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pH: _______________________ Salinity: _________________

PROPOSED INSTALLATION:

Length: ___________________________ Installed Depth: ___________________________

No. of 90 degree Corners: _________ Expected Service Life: _________

Removal of Piling Required in Future: yes / no

Excavation Planned Adjacent to Wall: yes / no

Maximum Depth of Excavation: _________

Previous Use of Sheet Piling at Site: yes / no

Type and Installed Depth of Previously Used Piling: ___________________________

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HEALTH & SAFETY REQUIREMENTS: ___________________________

SUMMARY OF REMEDIAL ACTIVITIES IN PROGRESS OR PLANNED:




COMMENTS:


DATE FOR SUBMISSION OF COST ESTIMATE: ___________________________

APPROXIMATE START DATE: ___________________________

INFORMATION PROVIDED WILL BE KEPT CONFIDENTIAL

Waterloo Barrier Inc.
P.O. Box 385
Rockwood, ON NOB 2KO
Canada
Tel: 519 856-1352 Fax: 519 856-0759