Laserfiche WebLink
CONSTRUCTION <br />Screen Length From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes El No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 0 Stove Pipe 0 Christie Box <br />casing <br />height <br />—COUNTY— <br />reotness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Envfronirnen Heallth Department <br />Date: 2 /61 Inspector: /-0 4'" <br />Facility Address: LO LI S C4L,e0 ke4 he% <br />Well Address: <br />WP# Well#: <br />Soil Boring: 3‘4 61,/ IS 3, 04) 6 j 6 Iv <br />Drilling Company: tvccer <br />Driller Onsite: <br />Consultant: <br />Geologist: 5:Ar- i cs- 11..eAnt, <br />Public Water System Onsite: 0 Yes 0 No <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />1=1 Yes ON° <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />ElYes ONo <br />El Yes ILINo <br />GROUTING or DESTRUCTION Total Depth: 41 ko ) S <br />Depth to Water: 0 <br />Grout Material: (\.l- <br />Gallons of Grout Used: 2-05 <br />DWell Installation 11Well Destruction <br />El Boring Installation E<ring Destruction <br />METHOD USED <br />0 Pressure Grout 0 Over Drill <br />lravity DTremie 1110ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94Th <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 4, 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 />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 /2 017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 J 1 209 468-3420 j F 209 464-0138 I wwvv.sicehd.com