Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> I" _ COUNTY--- <br /> sem« <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: %/'Abf Inspector: 4YI, 70 CONSTRUCTION <br /> Facility Address: 9 <br /> Well Address: Total Depth: <br /> WP# zA::) 3y371 Well#: Drilling Rig Type: <br /> Soil Boring#: Z34 S 1., 7, <br /> Drilling Company Min 2" Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: G Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist:,,—.,D41"0- 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 <br /> Holding Temperature: (OWL.ETION coMPLEnoN <br /> Method: Ground Surtacs <br /> Screening Method: orout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> n. <br /> tt. <br /> SPOILS w° <br /> C <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: G 3 /stood <br /> on = B <br /> Covered: ❑ Yes ❑No � w _ g,,,iol Pack <br /> If yes, material: /10 <br /> GROUTING or DESTRUCTION Total Depth: 'a 860 �✓l = <br /> Depth to Water: Ale) G•✓ <br /> Grout Material: AAeo. re"-f <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation QyBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> yL I Filter Pack Type/Size: <br /> ❑ Gravity remie rlothefr'f Type of Method: <br /> at ent 471b Water Cement 94 lb <br /> gallons Bas gallons Bags <br /> Thi est Bags Thickest Thinnest #Bags 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 /> G /3 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 />