Laserfiche WebLink
Date: Inspctor: <br />Facili y A dres : 7A9 L5-1 <br />Well Address: 2.40 24 ç <br />Well#: <br />Public Water System Onsite: <br />D Yes EN° <br />yvp# iffifi, 3 7 6 s71; <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />casing <br />height <br />A/30.-VE-GROUND <br />COMPLETION cHRIs-rY-pox - <br />COMPLETION <br />ft. <br />ft' „ SAN JOAQUIN <br />-COU NT Y—/ <br />Gct^E'r grt 1,5 htrc:. <br />Environmet 1 Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: L7 Yes ON° <br />SPOILS <br />Contamination Noted: LI Yes ljNo <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: Z... II ../S' <br />Grout Material: kno,,, 4- C.A4u.e. <br />Gallons of Grout Used: /4 <br /> <br />i i I <br />lilWell Installation lilWeestruction <br />0 <br />i 11,2 <br />Boring Installation 7 Boring Destruction <br />METHOD USED <br />DPressure Grout DOver Drill <br />0 Gravity ETremie 1:10ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest Bags <br />2.5 5 1 5 10 1 <br />10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 a 40 80 a <br />CONSTRUCTION <br />Total Depth: <br />DrJJiing Rig Type: <br />in 2" Annular EHD Seal Verified: LI Yes ON° <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION 0 Stove Pipe LI Christie Box <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 />El Yes lilNo <br />0 Yes EINo <br />1868 E. Hazelton Aven e a California 95205 f T 209 468-3420 I F 209 464-0138 1, www.sicehd.com <br />7 10/16/2017