Laserfiche WebLink
COMPLETION 0 Stove Pipe <br />casing <br />height <br />EChristie Box <br />ABOVE-GROUND <br />COMPLETION cl-WilSre-BOX - <br />COMPLETION <br />SANAOAQUIN <br />WP#0035 Well#: <br />Soil Boring#: G 3- I , C-7 -q <br />Drilling Company: C_-',0C-0 t"— <br />Driller Onsite: TrLA1 <br />Consultant: <br />Geologist: N Pcts-t-iin3 S 1 <br />Public Water System Onsite: 111 Yes ONo <br />Domestic Well Onsite: CI Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes ILINo <br />SPOILS <br />Contamination Noted: 111 Yes ONo <br />If yes, spoils storage Location: <br />Covered: LI Yes 0No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: VIA:NtLe_ <br />Grout Material: n4ou4- c.a.vv-Lc4"4-- <br />Gallons of Grout Used: 3 , "D._ 3 vg <br />El Well Installation DWell.Destruction <br />OBoring Installation r3 oring Destruction <br />METHOD USED <br />ElPressure Grout 1110ver Drill <br />riravity DTremie 00ther: <br />Water <br />gallons <br />Ceme1471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest ags 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 />Environmeel Health Department <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br />From: <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 />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 />COUNTY <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date:7 Inspector aitY\ CONSTRUCTION <br />Facility d ress: (gr gn S. AVVIPA(fCallel. St_ <br />Well Address: Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes DNo <br />To: <br />To: <br />To: <br />To: <br />kotci <br />UoicL <br />10/1 6 / 2 017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 4683420I F 209 464-0138 I www.sicehd.com