Laserfiche WebLink
0 Yes 0No Verified Chain of Custody: <br />SPOILS <br />Public Water System Onsite: 0 Yes 0No <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />as 1.ng <br />he igIxt <br />460alrearta FOR; VAN N. <br />N‘ks' <br />coMPLETIpN <br />Contamination Noted: El Yes EINo <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth <br />Depth to Water: k <br />Grout Material: AAA" Ce." <br />. [Melt Installation <br />EIBoring Installation OBoring Destruction <br />METHOD USED <br />ElPressure Grout P'aver Drill <br />al'6'ravity E1emie 00ther: <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Gallons of Grout Used: cc )cog) <br />1:1g4ell Destruction <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />0 Stove Pipe COMPLETION 0Christie Box <br />SAN ,,JOAQUIN <br />—coUNTY— <br />Greatness grows ficre <br />EmAronment leafth Departmenc <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 5 /v.? /18 Inspector: L46,--- °IAN <br />Facility Address: S11 %../ r-rtveb...0.4 St <br />Well Address: 5 0AA-A, <br />WP# 003r07.-7 Well#:aAtIS- ,isigrmq. <br />Soil Boring#: Vv•-i <br />Drilling Company: (...4.4 ay.() -,,r441474% <br />Driller Onsite: g-g•oto% I'-4z <br />Consultant: Pe Cs- <br />Geologist: e le\ IZI)41-1•44,-"e <br />CONSTRUCTION <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout From: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: Ell Yes 0 No <br />To: <br />To:- <br />To: <br />To: <br />Water <br />gallons <br />Cem ent 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest # Bags <br />1,5 s 1 5 10 1 <br />5 10 2 10 20 2 <br />7,5 15 s 15 30 1 <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 />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 />10/16/2017 <br />1868 E. Hazelton Avenue f Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com