Laserfiche WebLink
?°n , SANAAQUIN <br /> ` Environmental Health Department <br /> —COUNTY- - <br /> 'C"gCIFpFy� <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Oza Inspector: A.;�rd-Ir44-- CONSTRUCTION <br /> Facility Address: 332e3 /t"/,2�� <br /> Well Address: Total Depth: d _ <br /> WP# 696 3�7y3 Well#: Drilling Rig Type: of <br /> Soil Boring#: <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes []Noy�tJ <br /> Driller Onsite: �,�E-4t—Pd -� �1Tar•:� Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 2?9= Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: T height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION C06AP.EnoN <br /> ET <br /> Method: G=na surface <br /> Screening Method: <br /> Verified Chain of Custody: ❑ Yes []No �n- <br /> tt. <br /> ft. <br /> SPOILS = .; <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: abnee <br /> sacdon <br /> Covered: ❑ Yes ❑No <br /> g-1 pa-ck <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: cJ n tc. <br /> Grout Material: A,&,ft­(- ee <br /> 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 kBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie JKOther:jfi'e Type of Method: <br /> er ment 7 Water Cement 94 lb <br /> gallons Bas gallons Bags <br /> Thic Thinnes 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 IS 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 1 5 25 50 5 <br /> 15 30 1 6 30 60 6 <br /> 17.5 35 1 7 35 70 7 <br /> 20 40 1 8 40 80 8 <br /> 5l C 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />