Laserfiche WebLink
El Yes CI No Verified Chain of Custody: <br />SPOILS <br />ze GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: Z -3 1 <br />Grout Material: 42,4 c widwt <br />An <br />El Well Installation LIWell Destruction <br />ElBoring Installation oring Destruction <br />METHOD USED <br />LIPressure Grout 1110ver Drill <br />SAN4,10AQUIN <br />COUNTY <br />/ <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Environmental Health Department <br />Date: ri-t3'- 7-1 Inspector: ,4t-'.-- <br />Facility Address: q e. #11" <br />Well Address: <br />WP#eD eV/ 9,56 Well#: <br />Soil Boring#: I ,(2) 2 <br />Drilling Company: "Xv/v:li: XA <br />Driller Onsite: 7-cu....- <br />Consultant: ,24,/ Ate, ct,h, <br />Geologist: /414-ce44../ <br />Public Water System Onsite: 0 Yes 0 No <br />Domestic Well Onsite: 111 Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Contamination Noted: LI Yes 111No <br />If yes, spoils storage Location: <br />Covered: 0 Yes EINo <br />If yes, material: <br />Gallons of Grout Used: <br />pl-remie 00ther: <br />Water <br />gallons <br />Cement 47 lb <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 30 3 <br />10 Ct5") e°10 20 40 4 <br />12.5 25 5 25 50 s <br />ls 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />casing <br />height <br />CH3USTY-80X <br />COMPLETION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes 1=1No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 111 Stove Pipe III Christie Box <br />Ground Surfac• <br />f <br />grout <br />ft <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />ft <br />From: <br />From: <br />From: <br />From: <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 />Screening Method: <br />Io ' <br />Et/Gravity <br />/0 ( 2-5- <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