Laserfiche WebLink
�8N]O8DU/B <br /> |� ����V��U��VU|U� ���Yy����00������ U���Kf� ��8����mment <br /> �—' COUNTY— <br /> Greatness <br /> COUNTY--- — Health Department <br /> ^ ^^^` <br /> Greameo9mwnkeo` <br /> M0D|[Or'Dg UUeU /SO'| Boring |DsDeCfOO A£DO[f <br /> Dote: 11 Inspector: <br /> Facility Address:21(o Ga-Pre-IJ fi,\,4L <br /> Well Address: Total Depth: <br /> Drilling Rig Type: <br /> BoringSoil <br /> Drilling Company: VOA W <br /> Min Z"Annular EHDSeal»eN+ied: []Yes []No <br /> Dh|| O ite Screen Length From:______ To:— <br /> Consultant: Filter Frum� To: <br /> ^ ` `--------- <br /> Geologist: Bentonite From� Tu:_____�__ <br /> Grout Frorn: To.— <br /> Public Water System <br /> o.___________PuNicVVaterSystenn 0nxbe' [] Yes []No <br /> ' COMPLETION LJStove Pipe []ChristieBox <br /> Domestic Well Onsite: [l Yes []No <br /> Casing <br /> Ifyes, location and distance: helyht <br /> !AJVK`UYNG <br /> Holding Temperature: coWLEMm <br /> CCMPLETTON <br /> Method' mmurmSvmac* , <br /> Screening Method: ' <br /> Verified Chain ofCustody: [] Yes L]No ^ <br /> SPOILS " <br /> Contamination Noted: []Yes []No <br /> |fyes,spoils storage Location: l �� <br /> *lotted = <br /> Covered: L] Yes []Nu <br /> |fyes, material: . <br /> C, <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth toVVater -#4 . �� �� _� <br /> � �� ___~ _ <br /> GroutMaterio|: <br /> Gallons ofGrout Used: <br /> Casing Type: <br /> []Well Installation []VVeUDesLruot/on ' Blank Feet Screen Feet <br /> Slot Size: <br /> []8orin0/nsta/|otion��8or�n8 Destruction ' <br /> `- ' Bags ofCement: <br /> METHOD USED 8agsSand/Grave|: <br /> Type/BrandofBentoni�e� <br /> []PrexoureGnout []OverDriU � <br /> Filter Pack Type/Size: <br /> 10 Gravity []Tremie []Other: Type ofMethod: <br /> water Cement 47 lb Water Cement 94 lb / <br /> gallons Bags eallons Bags <br /> Thickest Thinnest Bags Thickest Thinnest 4 Bags BentonitelCement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 1.0 1 Bentonite per 47 lb 1.41 2-47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.821 4.7 <br /> 10 20 4 20 40 4 <br /> 12.5 25 25 so 5 <br /> 15 30 6 30 69 6 <br /> 20 40 8 L4.0 so 8 <br /> iA� w�«�v� �� rr/^ 10/16/2017 <br /> - ,r <br /> 1868E. Hazelton Avenue ( Stockton, California 052051 T 289468-34201 F 280464-8138 / <br />