Laserfiche WebLink
SQN._JOQQUIN Environmental Health Department <br /> . -- —COUNTY <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �t�ze/ Inspector: ljSee.— CONSTRUCTION <br /> Facility Address: 4ry-7*44- 1yZZ .)•Cd/say PC <br /> Well Address: Total Depth: <br /> WP#'W3f11' Well#: Drilling Rig Type: �/'N E '75- <br /> Soil <br /> SSoil Boring#: 3✓, Z_ 3i/ Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: 140V� Screen Length From: To: <br /> Driller Onsite: -J-4%,,, 5 <br /> Consultant: IXIX/K Twd��;q �� 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 casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND CHR__ <br /> Holding Temperature: COWLETION COMPLEnON <br /> Method: Ground Surface + <br /> Screening Method: arm <br /> Verified Chain of Custody: <br /> El El No �tt' <br /> tt. <br /> tt. <br /> SPOILS a' <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stattad <br /> sic9an <br /> Covered: ❑ Yes ❑No = g-w+pack <br /> Zt <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 373,'� tt. <br /> ~ <br /> Grout Material: /IAl2�lei ,.?- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: �l3 <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> []Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> lf _ Filter Pack Type/Size: <br /> ❑ Gravity t 7rem ie )NOthei:J� Type of Method: <br /> Water Cement 471b Water ment 941b <br /> allons Bas alions,/ Bags <br /> Thickest Thinnest pBags Thi Thinnest aSs 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 /> 3k /Z 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />