Laserfiche WebLink
casing <br />height <br />CHAM7Y-BOX <br />COMPLETION <br />Screen Length <br />Filter Pack <br />filigentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br /> SAN JOAQUIN Environmental Health Department <br />—COUN TY <br />Greatness grows here <br />Monitoring Well/Soil Boring Inspection Report <br />61(6 CONSTRUCTION <br />Witik Ca • <br />Date: Inspector: <br />Facility A dre s: Almon d <br />Well Address: <br />WP# (t1.) 6 Well#: <br />Soil Boring#: or‘- <br />Drilling Company: Cal otralak. ec +4 <br />Driller Onsite: <br />(A ..004-e_c4, <br />n <br />Public Water System Onsite: 111 Yes ON° <br />Domestic Well Onsite: El Yes EINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: LI Yes El No <br />SPOILS <br />Contamination Noted: El Yes El No <br />If yes, spoils storage Location: <br />Covered: LI Yes III N o <br />If yes, material: <br />GROUTING or DESTRUCTION Total glepth: 2.0 <br />Depth to Water: 0 0 0-) <br />Grout Material: IN2-44-A-- <br />6\0,-\ <br />El Well Installation 111 Well Destructidn <br />LIBoring Installation Woring Destruction to <br />METHOD USED <br />Pressure Grout 1110ver Drill <br />pGravity Lllremie I=10ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest bags Thickest Thinnest flags <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 />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: Li Yes 1=I No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION CI Stove Pipe LlChristie 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 />10/16/2017 <br />Consultant: <br />Geologist: <br />Gallons of Grout Used: <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com