Laserfiche WebLink
C1" Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />El Yes ON° <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />ft. <br />COMPLETION E Stove Pipe EChristie Box <br />grout <br />ft <br />sIottad <br />sacdon <br />gravel pack <br />ft. <br />ABOVE-GROUND <br />COMPLEI1ON <br />casing <br />height <br />CHRISTY-BOX <br />COMPLETION <br />Ground Surtaca f <br />SAN JOAQUIN <br />COUNTY <br />Environmen..... Health Department <br />P-a dce Greatness gro;.':- <br />Monitoring Well/Soil Boring Inspection Report <br />Date: -717...clie Inspector: L4.1.' )(i0144 CONSTRUCTION <br />Facility Address: 129,5 <br />Well Address: Total Depth: <br />W P# Well#: t <br />Soil Boring#: <br />Drilling Company: VA v./ DI;V\ilTh <br />Driller Onsite: <br />Cry-a. voosok '2,4,v17 <br />PlvtAY:e.A.V be " <br />Consultant: <br />Geologist: <br />2113 j OW —% Drilling Rig Type: <br />Public Water System Onsite: 0 Yes ON° <br />Domestic Well Onsite: El Yes El No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: LI Yes ENo <br />SPOILS <br />Contamination Noted: E Yes No <br />If yes, spoils storage Location: <br />Covered: III Yes E No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 237.4) <br />Depth to Water: 11_6,- <br />Grout Material: ke.A-- <br />Gallons of Grout Used: 08,3 )110) )/i17.) <br />DWell Installation eII Destruction <br />ElBoring Installation ElBoring Destruction <br />METHOD USED <br />OPressure Grout 1710ver Drill <br />0 Gravity ligleremie E Other: <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, Cnfornia 95205 I T 209 468-3420 I F 209 464-0138 I wwvv.sjcehd.com <br />tvcAA DAA ON(Ar <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />Iv ^Of% (4, <br />2° LIM t <br />1,00, HIA) <br />1-11 t OD f) 140