Laserfiche WebLink
GI Stove Pipe COMPLETION 171Christie Box Public Water System Onsite: El Yes ON° <br />l Gravity mie ElOther: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 3 //V/ Inspector: SIA-3,3 CONSTRUCTION <br />Facility Address: '2 8Li3 3L 777y1tle_ <br />Well Address: <br />0 - ( <br />WP# 00 1/30--C1 yVell#: <br />Soil Boring#: r 12-6- -1 <br />Drilling Company: <br />Driller Onsite: Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes IIINo <br />To: <br />To: <br />To: <br />To: <br />Domestic Well Onsite: 111 Yes ENo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: LI Yes ENo <br />SPOILS <br />Contamination Noted: 111 Yes In No <br />If yes, spoils storage Location: <br />Covered: El Yes LI No <br />If yes, material: <br />c / <br />GROUTING or DESTRUCTION Total Depth:-SO-I) ) <br />Depth to Water: ti.C/1 (/01,k_el ivo <br />Grout Material: 1) -eó't Ce <br />Gallons of Grout Used: '"\--(00 ^-/00) 't <br />111 Well Installation OWell Destruction <br />El Boring Installation 111 Boring Destruction <br />METHOD USED <br />Pressure Grout 1710ver Drill <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 4 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 />casing <br />height <br />CHRISTY-BOX <br />COMPLETION <br />rt <br />ft. <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen <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 />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />135K <br />Geologist: KOO <br />ABOVE-GROUND <br />COMPLETION <br />_ft <br />slottad <br />satIon <br />ft. <br />Feet <br />COUNTY- <br />SANJOAQUIN 4 <br />ohiS:e4"; <br />oreatness grows here. <br />Environmental Health Department <br />Consultant: