Laserfiche WebLink
j=li.�t6`["G f�[ •..i li'>r i=. ('f..'o iU; �,7,�'[�'; ent, <br /> -- C O l_1 IBJ T Y---- <br /> MoJSV itoring Weld/Soil Boring Inspection Report <br /> Date: 2 f 0.1 I Inspector: �16WI CONST RUCTION <br /> Facility Address: L-4 <br /> Well Addr�ss: �yllQ(� Total Depth: <br /> WP# (9 F'5-Q Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Compan : Q +-- Gid � 4t4 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite- CL(, Screen Length From: To: <br /> Consultant: !' Filter Pack From: To: <br /> Geologist: 91 ` Le Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No czsirg <br /> If yes, location and distance: -h hexghE <br /> SAMPLING A-E�3,E-Gaoa.,r,o <br /> Holding Temperature: c�7r-BO <br /> Method: C-mind stxt= <br /> Screening Method: Prcut <br /> Verified Chain of Custody: ❑ Yes ❑Norrt. <br /> SPOILS — <br /> Contamination Noted: ❑ Yes ❑I\10 = <br /> If yes, spoils storage Location: <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:— - <br /> Depth to Water: — ft. _ — — • <br /> Grout Material: <br /> Gallons of Grout Used: g'Q116U'2 MATERIALS/DEVELOPMENT <br /> V Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑BSlot Size: <br /> oring Installation PKoring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water cement 47 11) water Cement 9411) <br /> ollons Bags Rallons Bags <br /> Thickest Thinnest 4'Bags Thickest Thinnest 4'Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 z 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 a 15 'o a - <br /> 1° 20 4 _ 20 40 4 <br /> 12.5 25 5 25 s° $ <br /> 15 I 6 - 60 6 , � <br /> 17.5 as 7 35 :° +' <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209468-34201 F 209464-0138 j www.sicehd.com <br />