Laserfiche WebLink
SAN=IOAQUIN <br /> a a Environmental Health Department <br /> —COUNTY- <br /> - _ Greotness Prows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:_/,Q1'1/[�L Inspector: �i� CONSTRUCTION <br /> Ad <br /> Facility dress: 14W4 _$ t✓..�alrti d nd�. <br /> Well Address: Total Depth: <br /> WP# tl)c32160 Well#: Drilling Rig Type: <br /> Soil Boring#: 93 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: CT <br /> Screen Length From: To: <br /> Driller Onsite: ae, ' <br /> Consultant: ��.�,,���� Filter Pack From: To: <br /> Geologist: �Njah Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: ♦ height <br /> SAMPLING ABOVE-GIRCU D <br /> CONFLErfON CriAIS[Y SOX <br /> Holding Temperature: COMPLEno t <br /> Method: Grwnd Suriacs <br /> Screening Method: grun <br /> Verified Chain of Custody: ElYes ❑No f' <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = o <br /> If yes, spoils storage Location: sliro-d a <br /> Covered: ❑ Yes ❑No = �, <br /> If yes, material: _�,, ,�-� -= <br /> GROUTING or DESTRUCTION Total Depth:-1'C / 4� <br /> W li. <br /> Depth to Water: Au"L '..et S— IF <br /> � <br /> Grout Material: c,�p G Mdnde) <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ��❑��Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation 191 oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> R"Gravity L'ZTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Rallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5% Mix_ <br /> z.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10• z 10 20 z Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 b..ek(Jt' 1 IT& <br /> 10 20 4 20 40 4 <br /> 1z.s zs s 25 50 s 0 1% !o <br /> 15 30 6 30 60 6 <br /> 7. 3520 40 7 35 70 7 B 40 80 a ZJ •f`I 9U <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockttoonn, C liforrn a 95A5 I T 209 468-34201 F 209 464-0138 1 www.slcehd.com_ <br />