A.01.30_Forms_and_Drawings.pdf

CELRH-2093

Y N Y N

Start Finish Y N

FT

Bearing: Distance:

Y N Y N Personnel on site : (names)

Delays in Work:

Hours:

Linear Feet CASING:

Installed by:

Driving___ Drilling___

FT

Energy Rating if Automatic:

Concrete Confined? Linear Feet

Description of Barrel, Manufacturer, Model, Size

Description of Bit, Manufacturer, Serial Number

PRESSURE TESTS Number: Zones Tested: Single/Double Packer:

PIEZOMETER INSTALLATION Tip Depth Top Zone Depth Bottom of Zone Depth

BACKFILL: check after 24 hours for success

Y N Y N Y N

Dozer Time:

Hours:

Signature of Field Inspector:

Hole Location Photo?

Bentonite Balls Bags of Bentonite Bags of Cement

Remarks: Any item requiring Clarification, names of visitors, special instructions from Corps Personnel:

Other Billable Work Items:

Buckets Backfill successful:

Locator Bar Installed?

Standpipe

SOIL SAMPLING

Flushmount

Difficulties:

CORING:

Size:_______ Size: ______ Size: ______

Coring Difficulties: Depths, Remarks, Include Zone of Rod Chatter, Water Loss, Rod Drops, Core Loss, etc.:

Depth Casing First Required:

Depth Groundwater First Encountered:

Depth Water Introduced to Hole:

Size and type of Hammer Used:

Number pushed:

SPT without Hollow Stem Augers:

3" Drive Sampling w/Hollow Stem Augers:

Other: ___________________________ Problems with Heaving - Depths, Solutions, etc.

3" Drive Sampling w/o Hollow Stem Augers:

Directed Installation of Casing:

Undisturbed Sampling:

Size and Type:

Summary of work performed today: (type of drilling, depths, etc.)

Cause:

FIELD SUPERVISOR'S DAILY REPORT

FILL OUT THE FOLLOWING FOR EACH HOLE FOR WHICH DRILLING PROGRESS HAS BEEN MADE EACH DAY

Drilling without sampling:

SPT with Hollow Stem Augers:

Driller Field Supervisor Helper Inspector Qlty Assur. Inspect.

Weather: (must include temp)

Drill Rig: Manufacturer model-company designation

First Last personnel?

Project: Location: Boring Number:

Bearing and Batter:

Boring Moved:

Elevation Change Bearing/Distance from original location

Boring Completed Today?

Shift

Date:

Drillling Contractor: Utilities Checked:

Rights of Entry Checked:

Safety: Hard Hat, Safety Glasses, Steel-toed shoes, and appropriate level of protective equipment worn by all on-site

H1ECXSBS

Text Box Figure 1

Huntington District Engineering and

Construction Division Geotechnical

Engineering Branch

SUBSURFACE EXPLORATION

INSPECTOR'S SHIFT REPORT OF OPERATION

Plant and Materials Used

Inclinometers Installed:

From To ShiftRight of Entry

Obtained?

Y N N/A

Project:

Inspection Contractor Contract Number Task Order Number

Drilling Contractor Contract Number Task Order Number

Date

Report Number

Inspector's Signature

Boring Number

Drill w/o Sampling

With Hol.

Stem w/o Hol.

Stem 2-in ch Crossing

Construct R oc k

C on cr et e

C on fin ed

C on fin ed

Coring

Pressure Test

Surface Protect.

Rehab Install St an di ng

Fl us h

Piezometer

R oc k

C on cr et e

C on fin ed

Size in. Size in. Size in.

lf lf lf

3-in ch

Directed install.

Casing

Standard Penetration

Undist Sampling lf lf lf lf lf ea ea ea hrslf lf ea lf lf ea ealf lf lf lf lf lf hrs

Total:

lf lf lf ea ea ealf lf lf lflf lf

Pumps: (Manufacturer and model) Other: (Manufacturer and model)

Core Barrel and Bits: (Manufacturer, Model, and size)HoursDrill Rigs: (Manufacturer and model) Drive Hammers: (Size, type, and energy rating) ea ea ealf lf lf lf lf hrs

Drilling Progress: (Include progress of work, cause and extent of delays, excessive core loss, drill chatter, broken cores, movement of hole location and reasons, etc.)

Remarks: (Include verbal instructions given to contractors, names of visitors, driller, and inspectors, weather conditions, and safety violations.)

Mobilization and Demobilization: Surface Displacement Monument:

Confined Drilling, Drain Cleanout:

Pump Tests:

Flagman:Cribbing:

Backhoe: hrs hrs hrs ea ea ea lfhrs

Work Perfomed Today: (Indicate location and description of work performed, depths, and tests performed.)

Other Quantities

Number of Employees Supervisory Dillers Laborers Operators Inspectors Government

Dozer: (Manufacturer and model)

Quantities hrs

H1ECXSBS

Figure 2

CLASSIFICATION CLASSIFICATION

TYPE: TYPE:

ENG FORM BAG ENG FORM BAG

1-Oct-65 JAR 1-Oct-65 JAR

CLASSIFICATION CLASSIFICATION

TYPE: TYPE:

ENG FORM BAG ENG FORM BAG

1-Oct-65 JAR 1-Oct-65 JAR

FR

O

M

PROJECT LOCATION

SAMPLE NO.

HOLE NO.

ELEVATION

DISTURBED UNDISTURBED

FROM: TO:DEPTH

FR

O

M

PROJECT LOCATION

HOLE NO.

DEPTH FROM: TO:

ELEVATION

SAMPLE NO.

DISTURBED UNDISTURBED

REMARKS

DATE INSPECTOR

OF

FR

O

M

PROJECT

SAMPLE NO.

OF

REMARKS

DATE INSPECTOR

DATE INSPECTOR

LOCATION

HOLE NO.

DEPTH FROM: TO:

ELEVATION

DISTURBED UNDISTURBED

REMARKS

DATE INSPECTOR

OF

OF

FR

O

M

PROJECT LOCATION

HOLE NO.

DEPTH FROM: TO:

ELEVATION

SAMPLE NO.

DISTURBED UNDISTURBED

REMARKS

H1ECXSBS

Figure 3

JAR NUMBER

HOLE NO.

JAR NUMBER

HOLE NO.

THRU

FR

O

M

PROJECT LOCATION

THRU

FR

O

M

PROJECT LOCATION

BOX OF

----CUT LINE------STANDARD BOX LABELS----------CUT LINE----

BOX OF

H1ECXSBS

Figure 4

SUBSURFACE EXPLORATION SUMMARY SHEET

Page __ of __

Line Priority Boring # Top Bottom Rock Drill D.S. DS DS UD UD Soils Total Casing Depth Piez. VW Press Batter Direction Acoustic Video Remarks # Elev Elev Elev w/o Samp w/HS 2" 3" Sampling NQ PQ 6" Conc. Coring Total Piez. Tests Imaging Imaging

FT. Ft. ! ! ! Ea. Size Ft. Ft. Ft. Ft. Ft. Ft. ! Ft. Ea. Ea. # Degrees Bearing Y or N Y or N

1 C-13-149 1365 1255 1365 0 0 0 N/A

2 0 0 0 0 N/A

3 0 0 0 0 N/A

4 0 0 0 0 N/A

5 0 0 0 0 N/A

6 0 0 0 0 N/A

7 0 0 0 0 N/A

8 0 0 0 0 N/A

9 0 0 0 0 N/A

10 0 0 0 0 N/A

11 0 0 0 0 N/A

12 0 0 0 0 N/A

13 0 0 0 0 N/A

14 0 0 0 0 N/A

15 0 0 0 0 N/A

16 0 0 0 0 N/A

17 0 0 0 0 N/A

18 0 0 0 0 N/A

19 0 0 0 0 N/A

20 0 0 0 0 N/A

21 0 0 0 0 N/A

22 0 0 0 0 N/A

23 0 0 0 0 N/A

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0

0 Approved By:Prepared By: Checked By:Mob/Demob ea :Inspection Shifts

Spec ial

In str ucti ons:

Summation:

Total Estimated Hours:

See written scope of work.

PROJECT: DESCRIPTION:

Coring Type

H1ECXSBS

Figure 5

TOP OF GROUND

BRASS MARKER(GOV FURNISHED)

FINISHED AND SLOPED TO DRAIN

CONCRETE SURFACE SHALL BE STEEL TROW EL

5.0’

6"

CONCRETE

#4 RESTEEL BAR

MARKER.

AND SUPPLIES EXCEPT BRASS

FOR FURNISHING ALL MATERIALS

CONTRACTOR IS RESPONSIBLE

MONUMENT - FIGURE 17A

SURFACE DISPLACEMENT

NOT TO SCALE

PIPE

PVC SCHEDULE 40

BLACK STEEL OR

TOP O

F G

ROUND

BRASS MARKER(GOV FURNISHED)

FINISHED AND SLOPED TO DRAIN

CONCRETE SURFACE SHALL BE STEEL TROW EL

5.0’

6"

CONCRETE

#4 RESTEEL BAR

MARKER.

AND SUPPLIES EXCEPT BRASS

FOR FURNISHING ALL MATERIALS

CONTRACTOR IS RESPONSIBLE

MONUMENT - FIGURE 17B

SURFACE DISPLACEMENT

CUT

FILL

NOT TO SCALE

PIPE

PVC SCHEDULE 40

BLACK STEEL OR

(Ds-D) 0.1 (Ds-Do)

Obtain readings until:

Preferably until:

READING

NUMBER

TIME OF

READING

ELAPSED

TIME Da Ds D Ds-D AMOUNT OF

WATER USED

(Ds-D) (Ds-Do)

UNIFIED SOIL CLASSIFICATION:

0.37

SHEET: OF

GROUND SURFACE

ELEVATION (GS):

TOP OF RISER EL:

D1

D2 Ds

Do

Da

H2

H1 H0

Tip Elevation:

Ambient Piezometer Level

(Ds-D) (Ds-Do)

PROJECT: PIEZOMETER NO.

OBSERVERS: DATE AND TIME:

GROUND SURFACE ELEVATION (GS): TOP OF RISER ELEVATION (TOR):

BOTTOM OF PIEZOMETER ELEVATION: DEPTH FROM TOP OF RISER (Da):

AMBIENT PIEZOMETER LEVEL (Ds):

LOCATION DISCRIPTION: (MAIN DAM, DIKE, UPSTREAM SLOPE, ETC.)

PIEZOMETER TIME LAG TEST

H1ECXSBS

Figure 18a

PIEZOMETER TIME LAG TEST (CONTINUED)

FIGURE 29

SHEET: OF

TIME OF

READING

ELAPSED

TIME Da Ds D Ds-D (Ds-D) AMOUNT OF

WATER USED

PIEZOMETER TIME LAG TEST

(Ds-Do)

PROJECT: PIEZOMETER NO.

REMARKS:

READING

NUMBER

H1ECXSBS

Figure 18b

FIGURE 19

DRILLER:

RIG TYPE:

DIAMETER OF BORING:

BACKFILL QUANTITIES:

BACKFILL LOG REPORT

PROJECT:

BORING NUMBER:

DATE BACKFILLED:

BACKFILLED BY:

INSPECTOR:

2. LOCATION

3. DRILLING AGENCY

4. HOLE NO.

5. NAME OF DRILLER

6. DIRECTION OF HOLE

7. THICKNESS OF OVERBURDEN

8. DEPTH DRILLED INTO ROCK

9. TOTAL DEPTH OF HOLE

DIVISION

1. PROJECT

INSTALLATION

10. SIZE AND TYPE OF BIT

12. MANUFACTURER'S DESIGNATION OF DRILL

13. TOTAL NO. OF OVER-

BURDEN SAMPLES TAKEN

14. TOTAL NUMBER CORE BOXES

15. ELEVATION GROUND W ATER

16. DATE HOLE

17. ELEVATION TOP OF HOLE

18. TOTAL CORE RECOVERY FOR BORING

STARTED COMPLETED

DISTURBED UNDISTURBED

SHEET

OF SHEETS

VERTICAL INCLINED DEG. FROM VERT.

ELEVATION DEPTH CLASSIFICATION OF MATERIALS

dcba

(Description)

(TBM or MSL)

(Coordinates or Station)

(As shown on drawing title and file number)

11. DATUM FOR ELEVATION SHOW N

DRILLING LOG

LRH FORM 1836 PROJECT HOLE NO.

Feet

Feet

Feet

19. NAME OF INSPECTOR

BOX

LRD

LOSS

RQD/

FT.

ELEV.

P.S.I.

PRESS

C.F.M.

FLOW

BOX OR

SAMPLE

NO.

ffe

H1ECXSBS

Figure 20a

INSTALLATION SHEET

ELEVATION DEPTH LEGEND CLASSIFICATION OF MATERIALS

dcba

(Description)

Hole No.

LRH FORM PROJECT HOLE NO.1836-A

OF SHEETS

ELEVATION TOP OF HOLE

DRILLING LOG (Cont Sheet)

PROJECT

% CORE

RECOV-

ERY

BOX OR

SAMPLE

NO.

fe

FT.

ELEV.

P.S.I.

PRESS

C.F.M.

FLOW

H1ECXSBS

Figure 20b

TOP

DEPTH

BOTTOM

DEPTH START END INTERVAL

START OF

TEST

END OF

TEST

ORH FORM 2142 Dec 68

SUBSURFACE EXPLORATION PRESSURE TEST DATA

PROJECT: BORING NO.: INSPECTOR: DATE:

FIELD TEST DATA

PUMP CAPACITY: METER TYPE: METER SERIAL NUMBER:

BORING SIZE: TOP OF HOLE ELEVATION: TOP OF ROCK ELEVATION: STATIC WATER LEVEL:

TEST SECTION

GAGE

READING

TIME OF TEST METER READING TOTAL

WATER

GAL/

CU.FT. C.F.M.

H1ECXSBS

Figure 21

H1ECXSBS

Figure 22