Laserfiche WebLink
SANPIOAQUIN <br />—COUNTY— <br />Environmental Health Department <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: r11111X Inspector: /V*Z�`t„ <br />Facility Address: 2-q?- /V S.1t�_Cr^ <br />Well Address: <br />WP# Crj352cf-K Well#: <br />Soil Boring#: Fjy <br />Drilling Company: <br />Driller Onsite: <br />Consultant: ski e—FP[Aer -7-& <br />Geologist: _Msae ge k <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />❑ Yes <br />❑ Yes <br />El No <br />❑No <br />SAMPLING <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />Holding Temperature: <br />Thickest Thinnest <br />#Bags <br />Method: <br />5 <br />Screening Method: <br />1 <br />S 10 <br />Verified Chain of Custody: <br />❑ Yes <br />1:1 No <br />SPOILS <br />7.5 15 <br />3 <br />Contamination Noted: <br />❑ Yes <br />El No <br />If yes, spoils storage Location: <br />4 <br />20 <br />Covered: <br />❑ Yes <br />El No <br />If yes, material: <br />25 <br />50 <br />GROUTING or DESTRUCTION Total Depth: �1 <br />Depth to Water: Nom) G-1) <br />Grout Material: /1l_g, cPr_r_l-� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation [Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie 2SOther: 7'«c N <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />✓1 Bags <br />Thickest Thinnest <br />#Bags <br />2.5 3 <br />5 <br />10 <br />1 <br />S 10 <br />2 <br />10 <br />20 <br />2 <br />7.5 15 <br />3 <br />15 <br />30 <br />3 <br />10 20 <br />4 <br />20 <br />40 <br />4 <br />12.5 1 25 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 <br />60 <br />6 <br />17.5 35 <br />7 <br />35 <br />70 <br />7 <br />20 40 <br />8 <br />40 <br />80 <br />8 <br />(YINCTR I irTlnKI <br />Total Depth: 9 ,I / / / <br />Drilling Rig Type: Z Ae,-e o4-, /�,-0 61' ' le4 <br />Min 2" Annular EHD Seal Verified: ❑ Yes 11 No <br />Screen Length From: <br />Filter Pack From: <br />Bentonite <br />Grout <br />rnRAP1 FTIMU <br />From <br />From <br />❑ Stove Pipe <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND C4iRZTY-8OX <br />COMPLETION CCAAPLETION <br />Ground surface <br />grout <br />n. <br />ft. <br />ft. <br />w: _ <br />_ o <br />slotted = 6 <br />sec�on — B <br />_ = gavel Pack <br />—ft. = n. <br />MATERIALS/DEVELOPM ENT <br />Casing Type: <br />Blank Feet Screen 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 />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.s6cehd.com <br />