Laserfiche WebLink
, <br /> �K� ���0� <br /> ~ --[DUMTY-- <br /> MQU'tO['Dg Well/Soil Boring |DsDeCƒ OO ReDO[f <br /> Date: Inspector, CONSTRUCTION <br /> Well Address: Total Depth: <br /> Vv ~ Drilling Rig Type:Soil � <br /> -Drilling Company: Min 2^ Annular EHDSeal Verified: [] Yes []No <br /> Driller Onsite: ri <br /> Screen Length From� To:_________ <br /> Consu|tan Filter Pack From: To:__________ <br /> Geologist: Bentonite From: To:_________ <br /> Grout From: To:_________ <br /> Public Water System Onsite:� [] Yes []No <br /> {ZUVUPL]ETlON! [] Stovepipe [][hristie8ox <br /> Domestic Well Onsite: [] Yes []No <br /> ' <br /> cns 3- a <br /> |fyes, location and distance: height <br /> SA /R1JYG /-SOmE-GROUND <br /> Holding Temperature: <br /> o*�sr�aox <br /> e��a� <br /> Method: ;-P= <br /> Screening Method: grout <br /> Verified Chain ofCustody: [] Yes []No <br /> fP{DLI / <br /> Contamination Noted: [] Yes []Nu s <br />' |fyes,spoils storage Location: aIQ� � <br /> :45�.=c« � ! <br /> Covered: [] Yes []No / <br />` <br /> if yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> � <br /> Depth toWater: <br /> Grout Material:____ <br /> Gallons ofGrout Used: <br /> Casing Type: <br /> []VVe|| Installation []VVe|| Destruction Blank Feet ScreenFeet <br /> Slot Size: <br /> []Borin8|nstaUation []�ohn� Oestruction <br /> ��- Bags ofCement: <br /> METHOD USED Bags3and/Grove|: <br /> Type/8endofBentonite' <br /> []Pressure 5rout []OverDriU ' <br /> Filter Pack Type/Size: <br /> [] Gravity []Tremie []Other: Type of Method: <br /> 5 .10 Bentonite per 47 lb 1.411 2.47 <br /> 10 �'2 20 -gentonite per 94 Ib 2.821 4.7 <br /> 15 3 <br /> ~� = <br /> 20 1 40 8 <br /> � 10/16/2017 <br /> 18SOE. Hmze|tonAvenue Stockton, California 852O51 T 209 468-34201 F 209 464-0138 1 <br />