Laserfiche WebLink
SANsJOAQUIN Environmental Health Department <br />—COUNTY— <br />4 <br />Greatness rows here. <br />�vrpy <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 19-19-1 Ili' Inspector: 12:bLyrV-Cel <br />Facility Address: g►p N • Ce4-A6_1d, hye, Imp"4td <br />Well Address: <br />WP# 0 -'1-01 Well#: <br />Soil Boring#: y <br />Drilling Company: V f W Qr% jki►nt <br />Driller Onsite: :VyrA.NK <br />Consultant: <br />Geologist: W4,}- &A '11 , J? <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />❑ Yes <br />❑ Yes <br />No <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 20 <br />Depth to Water: DC0 lt3o i� <br />Grout Material: INe-k- C�- <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation)Boring Destruction <br />METHOD USED <br />(Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />RuaIlons <br />Cement 4716 <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />riBags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 <br />10 <br />1 <br />5 10 <br />2 <br />10 <br />20 <br />2 <br />7.5 15 <br />3 <br />15 <br />30 <br />3 <br />10 20 <br />4 <br />20 <br />40 <br />4 <br />12.5 25 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 <br />60 <br />6 <br />17.5 35 <br />7 <br />35 <br />70 <br />7 <br />20 40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTION <br />Total Depth: -D <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />AWVS-GROUND OiiRIS[Y-BOX <br />COMPLETION coMPLEnON <br />Ground surface <br />grout <br />ft_ <br />n. <br />t3. _ <br />— o <br />— o <br />slotted <br />sarion — <br />_ <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 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 />Screen Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />