Laserfiche WebLink
�80d� ��&�Ay�J <br /> ��. ����1@���W�� <br /> Environment?' 4ealth Department <br /> M0n'fOr^DgWell/Soil Boring Inspection Report <br /> ~..- . <br /> _ � <br /> CONSTRUCTION <br /> Well Address: ~� Total Depth: 1-15 <br /> ,,. e/enJ3_ Drilling Rig Type: {3 <br /> Soi|Boring#: <br /> Drilling Company: Min Z"Annular EHDSeal Verified: [] Yes []No <br /> hU Screen Length From:. 14�pTo <br /> Consu|tan ° Filter Pack From:_ tATo <br /> Geologist: P�n sr Bentonite From: To: <br /> Grout - From: oTo: Les— <br /> Public Water System <br /> Pub|icVVoter3ystem Onsite: []Yes []No ��- <br /> COMPLETION [] Stove Pipe liffhristie Box <br /> Domestic Well Onsite: []Yes []No <br /> |fyes, location and distance: � ' height <br /> SAMPLING <br /> Holding Temperature: oo&pbF-TIow- ' <br /> Method: emmrodoW=* C-C----'—' ; <br /> Screening Method: � <br /> Verified Chain ofCustody: [] Yes []No <br /> SPOILS ^� <br /> Contamination Noted: []Yes []No <br /> /fyes,spoils storage Location: / <br /> atoned � <br /> Covered: []Yes []No � | <br /> �yes, material: `- <br /> GROUTING or DESTRUCTION <br /> Total Depth: <br /> Depth toWater: <br /> Grout Material: <br /> GaUonsofGmutUsed- <br /> MATERIALS/DEVELOPM ENT <br /> ��----_- » <br /> Casing Type: <"'L- <br /> LJWe|| |ngaUation []VVde <br /> Well Destruction Blank �� Feet Screen Feet <br /> []Boring|nstd/otion []8ohSlot Size:n0De/�ruction � <br /> Bags ofCement: <br /> METHOD USED BagzSand/Gexe|: <br /> []pressuneGnout []OverDrU| Type/Brand ofBentonite: <br /> Filter Pack Type/3ize: <br /> [] Gravity []Tremie ' []Other: Type ofMethod: <br /> Water _T7��2111 47 11 water cement 94 1b <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 lb 1.41 2.47' <br /> 5 In 2 10 20 Sentonite per 94 lb 2.82 4.7 <br /> 10 20M 20 40 4 <br /> 12.5 25 5 '25 50 TS <br /> 15 30 5 30 60 6 <br /> 35 <br /> 80 8 <br /> 20 40 A0180 8 <br /> '70 ' 10/16/2017 ' <br /> ° <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209468' U / F 209 464-0138 | <br />