Laserfiche WebLink
t SAN MAHN Environmen'wal N_ eaftla DOpartr{�ri�eIut <br /> --COUNTY <br /> Mq ito(rin Well/Soil Boring Inspection Report <br /> Date: ( Inspector:—CUL,1 SCS CONSTRUCTION <br /> Facility Address: , t4cA/ I v' <br /> Well Address: -st"TON Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: 3 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: T Driller Onsite: Screen Length From: To: <br /> Consultant: 0 u fl-j Filter Pack From: To: <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 <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING —QVT <br /> vE n R . <br /> Holding Temperature: C0wF ;0N coMsrT{,rorl <br /> Method: ,. . ,Cka,ndsw-rx" <br /> Screening Method: <br /> Verified Chain of Custody: ❑ Yes ❑No <. <br /> SPOILS �._--��• _ <br /> _ <br /> Contamination Noted: ElYes 11 No <br /> If yes, spoils storage Location: _ <br /> clotted — � <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION—Total Depth: <br /> Depth to Water: —ft. tz- <br /> Grout Material: na� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity rz-ePremie ❑Other: Type of Method: <br /> Water cement 4711) Water cement 9411) <br /> gallons Bags Rall 15 Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 1 25 5 25 so S VI t7(-' _ �� \T•� '��/ 1 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 <br /> 20 40 0 40 8o c <br /> - - 8 20 �-�- <br /> 10/16/2017 <br /> ��1868 E. Hazelton Avenue l Stockton, California 95205 1 T 209468-34201 F 209464-0138 1 w slcehd com rsr <br />