WP0039051 - Laserfiche WebLink

Home Browse Search

JA IVJ Ulf Q U I tV Environmental Health Department 1`".L�•1` tJ —COUNTY— e. _,�r'' Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: (Z a Inspector: �� CONSTRUCTION Facility Address:kt,i "'i Z11- Well 11-Well Address: Total Depth: WP# 00_790.5-7 Wellt Drilling Rig Type: Soil Boring#: Drilling Company:Com an 7w�. Min 2"Annular EHD Seal Verified: El Yes ❑No Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes El No Oasincj If yes, location and distance: ♦ Aigt>t SAMPLING govt-GaCLNo c�!��lora �ss�i'-aox Holding Temperature: GOMPL tON Method: G=rxl Sulact Screening Method: nf°� Verified Chain of Custody: ❑ Yes ❑No 's' #t. SPOILS q = a a Contamination Noted: ❑ Yes ❑No = e If yes,spoils storage Location: sr,� _ - t- as yon w Covered: ❑Yes ❑No . If yes, material: _ GROUTING or DESTRUCTION Total DepthIF : n� Depth to Water: ft F-- ' Grout Material: one.. " MATERIALS/DEVELOPM.ENT Gallons of Grout Used: —to, —T� Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ,,--,,�� Slot Size: ❑Boring Installation q�tsoring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout Dover Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity r'em ie ❑Other: Type of Method: Water Cement 471b Water Cement 941b gallons Bas goall ons Baps _ Thickest Thinnest 9Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mise_ 2.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 7.5 15 3 15 30 3 , 10 20 4 20 40 4 12.5 1 25 5 25 50 5 15 30 6 30 60 6 J 17.5 35 7 35 70 7 20 40 a 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T' 209 468-3420 1 F 209 464-0138 ) www.s4cehd.com