Laserfiche WebLink
SAN JOAQUIN <br />Environmental Health Department <br />—COUNTY - <br />5 P Greatness grows lir_rc. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: r Z A+ II spector; Vv <br />Facility Address: q'5 i.er <br />Well Address: <br />WP# l"7� �� 'J$ Well#: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: VA e <br />Consultant: y- 2 <br />Geologist: <br />rnNCTR11rTInN <br />Total Depth: go I r_04-0_1,'41 <br />Drilling Rig Type: kA� <br />Min 2" Annular EHD Seal Verified: 11 Yes El No d �." <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 />Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />CANAPI II\I(-. <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 />If yes, material: <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: g Q <br />Depth to Water: 1 <br />Grout Material: 11, <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />El Boring Installation oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />ElGravity '�Tremie El Other: <br />Water <br />gall s <br />Cement 47 lb <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />xBags <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 />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 />2� <br />1868 E. Hazelton Avenue I Stockton, California 95205 <br />❑Christie Box <br />ft. <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 />ft. <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 />T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />