Laserfiche WebLink
SANJOAQUIN <br /> ?'_ —courtTv— Elllviivoo1 a eafth Department <br /> (greatness grow here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: (.i, _ Inspector: CONSTRUCTION <br /> Facility Address: UK <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: G-1, p,., 6S., <br /> Drilling Company: ft[4- Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: 444L4j-4.. Of Screen Length From: To: <br /> Consultant: lz E Filter Pack From: To: <br /> Geologist:. �R „ Bentonite From: To: <br /> Grout •- From: To: <br /> Public Water System Onsite: 11Yes ❑No <br /> COMPLETION ❑Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes El No <br /> casing <br /> If yes,location and distance: height <br /> SAMPLING <br /> Holding Temperature: Doer. LETiorf cHRMTY43nX <br /> CWPLEnON <br /> Method: Gmdpa Surface <br /> Screening Method: <br /> Verified Chain of Custody: ❑Yes ❑Nof2. <br /> it. <br /> SPOILS <br /> --� • <br /> Contamination Noted: ❑Yes ❑No <br /> _ � . <br /> If yes,spoils storage Location: Q <br /> s3anad F q <br /> uac5en a <br /> Covered: El Yes ❑Na �If yes,material: <br /> GROUTING or DESTRUCTION Total Depth:lo V.h <br /> Depth to Water: <br /> Grout Material:_!Llllf� C� <br /> Gallons of Grout Used: i J MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> ERIC-cavity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 4711 Water cement 94 lb <br /> gallons Ba ailons Ba s <br /> Thickest Thinnest 7t Baa 7hickesk Thinnest #•(Bags Bentonite/Gement ItirlliK 3%KIK 3°fo IUl11K <br /> 2,5 5 1 5 10 1 Bentonite per 47 Ib 1 1.41 2.4.7 <br /> s 10 2 10 20 z Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 1S a0 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />