My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0039251
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HUMPHREYS
>
1200
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0039251
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/9/2019 10:31:29 AM
Creation date
5/8/2019 8:49:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039251
PE
4372
STREET_NUMBER
1200
STREET_NAME
HUMPHREYS
City
STOCKTON
Zip
95203-
APN
16203007
ENTERED_DATE
2/1/2019 12:00:00 AM
SITE_LOCATION
1200 HUMPHREYS
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
nu'" SAN JOAQUIN <br /> Quo <br /> 2 Environmental Health Department <br /> —COUNTY <br /> gquFO r Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date <br /> a ts �CONSTRUCTION/0 -rlQ <br /> Facility Address: 1210 Q MLI of Pb r-KV <br /> Well Address: Total Depth: <br /> WP# 00 3 Well#: Drilling Rig Type: <br /> Soil Boring#: CPT / CPI/— 5a^0 re— <br /> Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Compa <br /> Driller Onsite: lL. .Vl Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: z4e ltyl <br /> 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 casing <br /> If yes, location and distance: height <br /> —CWT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLETION wmpi.FnoXri <br /> Method: Ground Surtaat <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> tt. <br /> tt. <br /> SPOILS p <br /> 4S _ - e <br /> Contamination Noted: ❑ Yes No r` <br /> If yes, spoils storage Location: slatted �- __ B <br /> sec�on <br /> Covered: ❑ Yes []No <br /> -vsl pack <br /> If yes, material: 2 <br /> GROUTING or DESTRUCTION Total Depth: JS ' • _ <br /> Depth to Water: -f tt. tt. <br /> Grout Material: <br /> Gallons of Grout Used: la y?` MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation RIBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement471b Water Cement 941b <br /> allons Bas gall ons Bags <br /> Thickest Thinnest tlBags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 3% 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 /> I( fl. �.7 p�S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />
The URL can be used to link to this page
Your browser does not support the video tag.