Laserfiche WebLink
i`' Vis, • j —COUNTY— L.�. .. .1.. im. . _ A.J.. I <br /> Greatness grans here. <br /> Moni,_ ing Weil/Soil Boring Inspectic. ,deport <br /> Date: ��7_1 Inspector: w CONSTRUCTION z <br /> Facility Address: l o v 0-w+ — (-A , <br /> Well Address: Lai.. ' Ic'— MlJl*. Total Depth: <br /> WP# V 0 7 �, Z Well#: Pte,i-l'1 0-1 Drilling Rig Type: <br /> Soil Boring#: '7Zo(I Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: n <br /> Driller Onsite: V4 Screen Length From: To: <br /> Consultant: <br /> Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> j casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND 0HR• <br /> Holding Temperature: 00.WLETK?N COMP`oN <br /> Method: G=rA Suir-" <br /> Screening Method: eft <br /> Verified Chain of Custody: El Yes ❑No 's <br /> #i. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No == <br /> If yes, spoils storage Location: <br /> — <br /> gscr, w — J <br /> Covered: ❑Yes ❑No .w <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _ <br /> Depth to Water: a <br /> Grout Material: ,r1'cw} C'pwlt�n MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used; a Casing Type: <br /> ❑Well Installation ell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 213ravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas Rallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest riBags Bentonite/Gement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 'PZVJ 7 ; <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 v\k (d <br /> 15 30 6 30 60 6 uy <br /> 35 7 35 70 7 <br /> 20 T C IF <br /> 20 40 0 40 80 8 J <br /> 10/16/2017 <br /> 1868 E. Harzelton Avenue I Stockton, California 95205 1 T'209 468-3420 1 IF 209 464-0138 1 www.slcehd.com <br /> `S (A-11bl Ze h vtv j a 4116 V1 <br />