WP0039085 - Laserfiche WebLink

Home Browse Search

-- C O U Ind T Y— — x/0111 oring Well/Soil Boring Inspection Report Date: '7i I( Inspector. CONSTRUCTION Facility Address: yo Well Address: �f�C4 Total Depth: WP# 00 0 Well#: Drilling Rig Type: Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No Drilling Compan f: Driller Onsite Screen Length From: To: Consultant: Filter Pack From: To: Geologist: 4 < Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height 4r r SAMPLING ,E-GROL O Holding Temperature: crFR:m ora Method: Screening Method: Verified Chain of Custody: ❑ Yes ❑Nott• SPOILS Contamination Noted: ❑ Yes ❑No = If yes,spoils storage Location: — Covered: ❑ Yes []No If yes, material: — GROUTING or DESTRUCTION Total Depth: - — Depth to Water: t4- Grout Material: 4 Y e cems4d� Gallons of Grout Used: MATERIALS/DEVELOPMENT � �.raall.�� Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑Borin Installation Slot Size: g .�'�oring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: ❑Pressure Grout ❑over Drill Filter Pack Type/Size: 0 Gravity ❑Tremie ❑Other-: Type of Method: ,Nater Cement 47 11) Water Cement 941 11) -allnns Bags Qallcris I Baas Thickest Thinnest 4Bags Thickest Thinnest ^"Bags BentonitelCa Tiient Mix 3% Mix 5% Mix 2.5 5 1 E, 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 0 20 Bentonite per 94 Ib 2.82 4.7 7.5 1s a 15 30 s 10 20 a 20 40 4 12.5 25 5 25 s0 5 R 15 I E 30 60 6 1i.535 7 95 I .0 20 40 E 4L1_- E0 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 1 wvrw.sicehd.com