Laserfiche WebLink
SAN JOAQUIN <br />Environmental Health Department <br />—COUNTY <br />P; <br />Greotriess grows fere. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 5nspe tor:yialt, CONS RUCTION <br />Facility Address: I + a �y� V_ ► / <br />Well Address: Total Depth: -5 <br />WP# Vj V 00-390 W II#: Drilling Rig Type: <br />Soil Boring#: T� Min 2" Annular EHD Seal Verified: ElYes ❑No <br />Drilling Company: l a5 A 4-�)Screen Driller Onsite: Length From: To: <br />Consultant: Filter Pack From: To: <br />Geologist: k Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: ❑ Yes ED No COMPLETION ❑ Stove Pipe []Christie Box <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />C01\APl INC, <br />Holding Temperature: <br />Method: <br />Screening Method:_ <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: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: f f <br />Grout Material: <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation)lBoring Destruction <br />METHOD USED <br />El Pressure Grout ❑Over Drill <br />P4ravity ❑Tremie ❑Other: <br />ft <br />�r�1y <br />g ra�CC.d i- <br />�—AATIERIAILS/IDIEVELOPM E <br />Casing Type: <br />P O Blank Feet <br />Slot Size: <br />LO% Bags of Cement: <br />Bags Sand/Gravel: <br />f>'A Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ttBags <br />Thickest Thinnest <br />4Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <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 />7 <br />35 <br />70 <br />7 <br />20 <br />49 <br />8 <br />40 <br />80 <br />8 <br />n. <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 />CA jo <br />1868 E. Zzelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 <br />10/16/2017 <br />www.socehd.com <br />