Laserfiche WebLink
1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />El No 111 Yes <br />To: <br />nNo COMPLETION 111 Stove Pipe LIChristie Box Public Water System Onsite: L Yes <br />Depth to Water: <br />Grout Material: int,"1.--1 (AMIN^ <br />Gallons of Grout Used: 5 to 9 0-I <br />Well Installation 'Well Destruction <br />Monitoring Well/Soil <br />Date: 11/2,3/( Inspector: I cLe--4.. A- - <br />Facility Address: ,g,2-) (A./., 0 ,,,,11, <br />Well Address: I t v"- PI et - _ S <br />wp# 00 Li ) g I- Well#: V/if— 0 3 <br />Soil Boring#: <br />Drilling Company: 191' -1". kr- <br />Driller Onsite: )41; <br />Consultant: (41,-/` 1 -z& <br />Geologist: Ve‘r-7 A ' <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Domestic Well Onsite: EYes 111No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: EYes ON° <br />SPOILS <br />Contamination Noted: El Yes ON° <br />If yes, spoils storage Location: <br />111 Yes N o <br />111 Boring Installation El Boring Destruction <br />METHOD USED <br />Pressure Grout 1/440ver Drill <br />.17-Gravity nTremie <br />Water <br />gallons <br />Cement 12,3 ) <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest flBags <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 35 70 7 <br />20 40 (78--) 40 80 8 <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 />GROUTING or DESTRUCTION Total Depth: <br />Covered: <br />If yes, material: <br />-c-r <br />To: <br />To: <br />To: <br />casing <br />height <br />ABOVE-GROUND <br />COMPLETION CHRISTY-BOX <br />COMPLETION <br />Greatness grows here. <br />Ground Surfacs <br />SANJOAQUIN <br />V.—COUNTY <br />o sr, <br />-10Fae- <br />Environmental Health Department