Laserfiche WebLink
JAN MAQUI1�9 <br /> _,- Environmental Health Department L`'•i`E; —COUNTY <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: O / / Inspector: b, CONSTRUCTION <br /> Facility Address: A,t 9-1 a e,1 64 t4 /1 <br /> Well Address: 7-7o Total Depth: <br /> WP#g03Aly Well#: Drilling Rig Type: �{ 6�1�� �- <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Sal ew^ g 1s, G�,.� Screen Length From: To: <br /> Driller Onsite: Filter Pack From: To: <br /> Consultant: <br /> Geologist: 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 aa=in9 <br /> If yes, location and distance: h'lgnt ; <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 00.WLEnON C UPLET-iom <br /> Method: cc,Ixls> xs — . <br /> Screening Method: prvsr[ <br /> Verified Chain of Custody: ❑ Yes ❑No fL <br /> IL <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑Yes ED]No = = a <br /> If yes, spoils storage Location: st = a <br /> sa ycn w <br /> Covered: ❑Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: V. =_ <br /> Depth to Water: I,S& - ' <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Vooring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 54ravity M remie ❑Other: Type of Method: <br /> Water cement 471b Water cement 941b <br /> gallons Bas gall ons Bags <br /> Thickest Thinnest ,Bags Thickest Thinnest »Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 1 3 i <br /> 10 20 4 20 40 4 R I M `-t <br /> 125 25 5 25 50 5 b, Q f4 <br /> 15 30 6 30 60 6 <br /> 17.s 35 7 35 70 73 2 2� 4�.r Lo Ll fi e 9 94 b rh dog 1 u v�t j J <br /> 20 40 8 40 80 8 , p ei <br /> ev Q, 115* ,4 w- 2 S� 10/16/2017 <br /> �s @. <br /> U4 4,") <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T' 209 468-34201 F 209 464-0)38 1 www.sicehd.com_ <br /> 4� by Al t I eel N 2- <br /> 6L1 <br /> .oa <br />