Laserfiche WebLink
COMPLETION D Stove Pipe OChristie Box <br />casing <br />height <br />ABOVE-GROUND <br />COMPLETION CHFUSTY-BOX <br />COMPLETION <br /> Ground Surface <br />grout <br /> ft <br />_ft <br />slotted <br />secton <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Yes EN° <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />ft. Jr <br />SANsJOAQUIN <br />COUNTY- <br /> Environmental Health Department <br />Greatness grows here <br />Monitoring Well/Soil Boring Inspection Report <br />Date: %-.1 g Inspector: )(-4y <br />Facility Address: i 110 e./ D )-• • <br />Well Address: <br />WP# ov-zilob Well#: <br />Soil Boring#: <br />Drilling Company: I:),r/v\ ror\e-- <br />Driller Onsite: MCiv..t( <br />Consultant: 'LI jvrev, <br />Geologist: "TO...". v-Nt.•-ty•-•/ <br />Public Water System Onsite: Yes <br />Domestic Well Onsite: D Yes <br /> <br />li1No <br /> <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: D Yes EN° <br />SPOILS <br />Contamination Noted: LI Yes El No <br />If yes, spoils storage Location: <br />Covered: D Yes LIN° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: jfkc <br />Depth to Water: <br />Grout <br />- <br />Grout Material: rej_k- piAr--(Ar —bc <br />Gallons of Grout Used: —roil" liJ u .4A 4,,N/ <br />111Well Installation OWell Destruction <br />ElBoring Installation BlEtc<ring Destruction <br />METHOD USED <br />IIIPressure Grout ClOver Drill <br />D Gravity <br /> <br />c?Kemie ElOther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest trBags Thickest Thinnest It Bags <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 />CONSTRUCTION <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 />— OkNe 04,4.),-\ rn <br />APiet,P3`11,0 b - <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.sicehd.com