Laserfiche WebLink
SAKdOAQUIN <br />r+ i_:. COUNTY - <br />4 �a <br />Greatness grows here. <br />Q' <br />Monitoring Well/Soi <br />U) Date: bv Inspector: V d-�� <br />Facility Address: <br />Well Address: _�ct (% `- W • -�i�,V Y <br />WP# Q 0 , W I Well#: <br />Soil Boring#: (� <br />Drilling Company: <br />Driller Onsite: r �= <br />Consultant: �'rP/75i/ �n--f•E, <br />Geologist: <br />Public Water System Onsite: ❑ Yes El No <br />Domestic Well Onsite: ❑ Yes El No <br />If yes, location and distance: <br />SAMPLING r <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ONO <br />If yes, material: r� <br />GROUTING or DESTRUCTION Total Dep1ft �(J <br />Depth to Water: �-- <br />Grout Material: <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation4oring Destruction <br />METHOD USED ,� <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity *emie ❑Other: <br />Water <br />gall s; <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />e's Thinnest <br />gs <br />Thickest Thinnest <br />b Bags <br />Z.5 5 <br />1 <br />5 10 <br />1 <br />10 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />Environmental Health Department <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: ij <br />Drilling Rig Type: Lea&�E_2.2-5- <br />Min 2" Annular EHD Seal Verified: ❑ Yes ONO <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />COMPLETION ❑ Stove Pipe ❑Christie Box <br />casing <br />height <br />ABOVE -GROUND CHRZ'IY-BOX <br />CONFLE MN comPLEncN <br />Ground Surface <br />proof <br />n. <br />tt. _ <br />1 O <br />— a <br />alottrad zr <br />sermon — <br />g—W pack <br />tt. =I rft. <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.secehd.com <br />