Laserfiche WebLink
_ <br />�8N�iO�[lU>N <br />��|v��UH�W|N Environmental ����K�h �������n��� <br />' -C[]UMTY----'- Department <br />- <br />Gasmeugrows here. <br />M{JD'to['D Well/Soil Boring Inspection A8pC)[t <br />Date: �5/4(/ZJQ Inspector,__ �__w CONSTRUCTION <br />Well Address: r Total Depth: <br />_______ <br />«« � Drilling Rig Type: <br />Soil--'~- Min 2"Annular EHDSeal »4,i+ied: []Yes []No <br />Drilling Company: ''- <br />Driller Onsite: ?6-u�- �����- Screen Length From�To:__________ <br />Filter Fro � Tn <br />�muuuu/u� `------�--------_- <br />Geologist: Bentonite From:Tn:______�__ <br />Grout From: To� <br />`---_-_' �----------- <br />Public Water System Onsite: []Yes &��-� No COMPLETION [] Stove Pipe []ChristieBox <br />Domestic Well Onsite� � []Yes No <br />casing <br />|fyes, location and distance:` JTff If <br />h=isht <br />0 M SAMPLINGWT <br />������ . <br />Holding Temperature: cowLErioN q -RIS -N -BOX <br />COMPLEMON <br />Method:^ Gmdrsdourf= <br />Screening Method: L Pt I grout <br />VerifiedCEls )(NoYe oy� <br />SPOILS <br />Contamination Noted: []Yes ��F�No ° <br />/fyes, spoils storage Location: <br />*wm~y = <br />-� � | <br />Covered: []Yes No / <br />-` <br />|fyes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth __--_~YL I F__'������ <br />Grout Material: MATERIALS/DEVELOPM ENT <br />Gallons ofGrout Used: ' <br />Casing Type: <br />[]VVe|||nsta||ation []VVe|| Destruction Blank Feet Screen Feet <br />LJBoring Installation ring Destruction Slot Size: <br />°~. <br />Bags ofCement: <br />METHOD USED BaQsSund/8rzve|: <br />Type/Brand of Bentonite: <br />[]PressuneGrout []OverDri|| <br />Filter Pack Type/Size: <br />[]Gravity Tremie []Other: Type of Method: <br />Water <br />gallons <br />cement 471b <br />Bags <br />Water <br />Raill s <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />4 Bags <br />Thickest Thinnest <br />4 Bags <br />10 20 <br />4 <br />20 401 <br />4 <br />BentoniteXement Mix 3% Mix 5% Mix <br />Dentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />R 10 ��� v��u�- ~ � -� �� l�f�� x�.�^/10/16/2017 <br />/� mn/� <br />1868 E. Hazelton Avenue I Stockton, California 95205 1� T 209 468 <br />