WP0038925 - Laserfiche WebLink

Home Browse Search

SANJ OA Q U I N Environmental Health Department —COUNTY— Greatness COUNTY— Grentness grows here. / Monitoring Well/Soil Boring Inspection Report Dater 6 Inspector: &U.Aj�t,( 1 CONSTRUCTION Facility Address: —21001 &(Lf j�C tgVGUAA Well Address: Total Depth: WP# noslzs Well#: Drilling Rig Type: Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No Drilling Company: Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height SAMPLING ABOVE-GROUND Holding Temperature: COWLErfON CcoMP�LEn.ON Method: G=nd Surfr, If Screening Method: Drool Verified Chain of Custody: ❑ Yes El No ft. ft. fi. SPOILS Contamination Noted: ❑ Yes ❑No = If yes,spoils storage Location: stottad c: sarion Covered: ❑ Yes []No iE _ g-�w Pack If yes, material: — GROUTING or DESTRUCTION Total Depth: 15ft .. Depth to Water: • — n Grout Material Qom{" MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑BSlot Size: oring Installation'I�Boring Destruction Bags Size: 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 allons Bas Rallons Bags Thickest Thinnest uBags Thickest Thinnest 4Bags 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 /�I,I�Q T� 1. 20 4 20 40 4 r C �tJ�—1 6 VJ I Ei(i�Q vu W�.t�`�`-' 12.5 2s s zs so s yJ�`,�J 15 30 6 30 60 6 17.5 35 7 35 70 7 �J 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com