Laserfiche WebLink
casing <br />height <br />ABOVE-GROUND <br />COMPLETION C4-CRISTY-8OX <br />COMPLETION <br />Min 2" Annular EHD Seal Verified: El Yes EINo <br />To: <br />To: <br />To: <br />To: <br />COMPLETION CI Stove Pipe EChristie Box <br />Ground Surface <br />f <br />grout <br />ft <br />ft <br />slotted <br />sac-jon <br />gravel pack <br />ft. <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />SANAOAQUIN <br />COUNTY— Environmem_ Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Facility Address: pco F S4- <br />Inspector: /..0-/ CONSTRUCTION - )Ct Date: -z-I ty 6 <br />Well Address: <br />vop# apyrr-S-7 Well#: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br /> (Y7,95 Pritl e5 <br />Consultant: <br /> Psvz- <br />Geologist: <br /> ch„,e <br />Public Water System Onsite: E Yes ENo <br />Domestic Well Onsite: CI Yes ENo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: E Yes ENo <br />SPOILS <br />Contamination Noted: El Yes El No <br />If yes, spoils storage Location: <br />Covered: LI Yes IIINo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: 1,1114 te,..m."...Ar <br />Gallons of Grout Used: <br />EWell Installation El Well Destruction <br />LI Boring Installation liKO-ring Destruction <br />METHOD USED <br />EPressure Grout EOver Drill <br />LI Gravity lkKemie Cl Other: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest flags <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 />Total Depth: <br />Drilling Rig Type: <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 />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com