Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br />_. -COUNTY <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 3V Inspector: Vv <br />Fa ci I ity Ad d ress: <br />Well Address: <br />WP# 003-:7---70-0 Well#: <br />Soil Boring#: r _ <br />Drilling Company: I -eAy% <br />Driller Onsite: 'f2 lagwl, <br />Consultant: <br />Geologist: <br />Public Water System Onsite: ❑ Yes El No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTIONotal Qepth:� <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: 4 <br />❑Well Installation ❑Well Destructio <br />❑Boring Installation ❑Boring Destruction <br />MFTHnn i mrn <br />❑Pressure Grout ❑Over Drill <br />Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />zBags <br />Thickest Thinnest <br />bBags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />30 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTION <br />Total Depth:�/� , , � t� C <br />Drilling Rig Type: ��- °( <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />rnnnai FTInN <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes El No <br />To: <br />To: <br />To:7 <br />To: t skq <br />❑Christie Box <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 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />