WP0038613 - Laserfiche WebLink

Home Browse Search

SAN JOANN Environmental J-'Jealth Department ----COUNTY— Monitoring Well/Soil Boring Inspection Report Date: ' �M Inspector: p.ortP CONSTRUCTION Facility Address: %10 SA rport T Well Address: Total Depth: WP# co�$6 Well#: Drilling Rig Type: Soil Boring#: Al , d I�— �n Drilling Company: V� w .rii t iyq � wl Min 2"Annular EHD Seal Verified: ❑ Yes ❑No Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: n c- Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes El No casing If yes, location and distance: height SAMPLING A-';;VF-.GRCYJNo _ Holding Temperature: CwQWPLE ;ON COM EoN Method: Ground Sumacs "'+"�._.._ Screening Method: grout Verified Chain of Custody: ❑ Yes El No �ft. h. tt. SPOILS — Contamination Noted: ❑ Yes ❑No — m If yes,spoils storage Location: stons� Covered: ❑ Yes ❑No = i If yes, material: r GROUTING or DESTRUCTION Total Depth:S Depth to Water: /1/ Grout Material: eOC4 "d, CA'MP-A Gallons of Grout Used: 2� aa� MATERIALS/DEVELOPMENT �J Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation qBoring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: Gravity ❑Tremie ❑Other: Type of Method: Water Cement 471b water Cement 94 lb _ P aIII ons Bas gallons Bags Thickest Thinnest 4Bags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 SO 5 i5 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 1 80 8 CC) ya I 18 ba�s 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sicehd.corn