Laserfiche WebLink
SAN JOAOUIN Environmental Health Department <br /> --COUNTY - <br /> Greatness <br /> OUNTY—Greatness grows here. <br /> U /(� MonitoringA�We(llll/wSoil Boring Inspection Report <br /> Date: l f 7 Inspectgr:t 0�1"I� i 1 I D��`�`'� CONSTRUCTION <br /> Fa ci I ity Ad d ress: 1263 Lo_TTa-S�2 Co,r-E <br /> Well Address: V Total Depth: <br /> WP# UO3 a©O Well#: Drilling Rig Type: <br /> Soil Boring#: ju y 1 6Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: t oc:a <br /> Driller Onsite: � res '�ovn✓n Screen Length From: To: <br /> ,��AM SQA Filter Pack From: To: <br /> Consultant: g <br /> Geologist: WG-:/(r,x- <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 El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CON'�T1ON tEnoN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No —`--n' <br /> s. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =` <br /> If yes, spoils storage Location: atortad <br /> s4c7on — B <br /> Covered: ❑ Yes ❑No = I-w+pack <br /> If yes, material: <br /> 1 <br /> GROUTING or DESTRUCTION Total Depth: 5 �f 5 '+ 5 �" 1�= SS IF <br /> Depth to Water: h0 Vv A_+_a� n• — n• <br /> Grout Material: f <br /> Gallons of Grout Used: 15'6) MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Storing Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED . ,5 i!n• Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> �9 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cemen 471bWater Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest xBags Thickest Thinnest uBags Bentonite/Gement 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 /> 15 qp,,l ba( 10/16/2017 <br /> 1868 E. Hazelton Avenue I //S'tockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />