Laserfiche WebLink
SKJOAQUIN Environmental Health Department <br />—COUNTY— <br />Greatness grows Frere. <br />q <br />Monitoring Well/Soil Boring Inspection Report <br />/6 Date: ) Blnspector: V " CONSTRUCTION <br />Facility Address: <br />Well Address: Total Depth: <br />WP# 06.3 El tjO Well#: Drilling Rig Type: I <br />Soil Boring#: <br />Drilling Company: r r1 J, Min 2" Annular EHD Seal Verified: El Yes []No <br />Driller Onsite: r��t Screen Length From: To: <br />Consultant: <br />Filter Pack From: To: <br />Geologist: 6—ABentonite From: To: / II <br />R <br />Grout From: To: <br />Public Water System Onsite <br />Domestic Well Onsite <br />If yes, location and distance: <br />❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑ No <br />SAMPLING <br />Holding Temperature: <br />Method: r2 11g24 <br />Screening Method: 11147� <br />Verified Chain of Custody <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />If yes, material: j <br />GROUTING or DESTR CTION Total Depth: l <br />Depth to Water: N <br />Grout Material: !3 - Clk <br />Gallons of Grout Used:� <br />��-,Iv v " <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />�ravity <br />iA emie ❑Other: <br />casing <br />height <br />ABovE-GROUND C -WSSTY-Sox <br />OOM?LETION COMPLETION <br />Ground Surtacf <br />grout <br />ft. <br />ft. <br />ft. _ <br />= a <br />slotted <br />section <br />_ = 9 -VW Pack <br />ft. -- n. <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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s4cehd.com <br />Water <br />allons <br />Cement 47 lb <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thictwpt, <br />Thinnest <br />» <br />Thickest Thinnest <br />>rBags <br />5 <br />5 <br />1 <br />5 10 <br />1 <br />10 <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 30 <br />3 <br />10 <br />20 <br />4 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />35 <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />casing <br />height <br />ABovE-GROUND C -WSSTY-Sox <br />OOM?LETION COMPLETION <br />Ground Surtacf <br />grout <br />ft. <br />ft. <br />ft. _ <br />= a <br />slotted <br />section <br />_ = 9 -VW Pack <br />ft. -- n. <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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s4cehd.com <br />