Laserfiche WebLink
SAN J OAQ U I N Environmental Health Department <br /> COU NTY--- <br /> ���c � / Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: S�iY�/? InspectCONSTRUCTION <br /> Facility Address: -b)4 Q <br /> Well Address: Total Depth: <br /> WP# Gb 3f3 4 Z Well#: Drilling Rig Type: e101-1r'1Z1 <br /> Soil Boring#: �� 2 Min 2"Annular EHD Seal Verified: ❑ Yes ONO <br /> Drilling Company: jy"r WW0 Loa.��d <br /> Driller Onsite: LA&A Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: AR/4"16-4.1— <br /> Geologist: $erAlb 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COf`'F�ION 0OOMPLEnON <br /> Method: Ground Surf=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �n' <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: sbnad <br /> a on <br /> Covered: El Yes El No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: • <br /> Depth to Water: AV Z n• n. <br /> Grout Material: W re--� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 14-1-. -/9 <br /> Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Poring 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 D4Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest "ags 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 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 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 />