Laserfiche WebLink
If yes, location and distance: <br />Public Water System Onsite: CI Yes XNo <br />kl\l° Domestic Well Onsite: 0 Yes <br />It- <br />COMPLETION 0 Stove Pipe 0Christie Box <br />grout <br />ft. <br />ft. ft. <br />slortad <br />soc-don <br />ft. <br />casing <br />height <br />cHRIsri•-pox ' <br />COMPLETION <br />Ground Surfacs <br />SANsJOAQUIN 41 x.2. COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: I ziagi rk Inspector: 7. bacie-tr <br />Facility Address: WY} 50E.C.M-Q1 v. rvleA4e,CO, <br />Well Address: <br />WP# oo3i1-11 Well#: <br />Soil Boring#: 0 tA 2 <br />Drilling Company: q(kny% v (Li riedeomi 141,6 <br />Driller Onsite: CiarKie <br />Consultant: 14. le ih ite,r <br />Geologist: ENG pi R,C <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes El N o <br />SPOILS <br />Contamination Noted: 111 Yes 111No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0No <br />If yes, material: <br />2:1 I <br />Gallons of Grout Used: 10 1 12 <br />0Well Installation 0Well Destruction <br />0Boring Installation poring Destruction <br />METHOD USED <br />0Pressure Grout 00ver Drill <br />0 Gravity EXTremie El Other: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 9.1- <br />Grout Material: %.1,2-ak" etws.g."4.- <br />Screen Length From: <br />Filter Pack <br />From: <br />Bentonite From: <br />Grout <br />From: <br />1144-8 LVW)61 ,?4'Y «0%•5 O W4(4 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />10/16/2017