Laserfiche WebLink
IOU-N C <br /> SANJOAQUIN. D Environmet. .,I Health Department <br /> ...I —COUNTY— <br /> ,�,;:,_` Grentness groves here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: _ CONSTRUCTION <br /> Facility Address: t coo L OoQJyF� <br /> Well Address: Total Depth: L, <br /> WP# "\\ 1,4 to Well#: — y`a Drilling Rig Type: V\"0 <br /> Soil Boring#: t311Et Min 2"Annular EHD Seal Verified: ,Yes ❑No <br /> Drilling Company: f�1�6.ueyFv fl��1Si�Cs <br /> Driller Onsite: Screen Length F To' To. <br /> (�Q.trptOS� Filter Pack Fro • To: <br /> Consultant: rom <br /> 0.5 <br /> Bentonite F : To: r e c <br /> Geologist: M'v�t.� T> c (svu c <br /> Grout From: To: <br /> Public Water System Onsite: Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes NN0 ca sin NyPanc . <br /> o Ate_ <br /> If yes, location and distance: w height <br /> IT <br /> SAMPLING N1A AeovIE-GROUND T <br /> Holding Temperature: coMPtFrIDN COMPLETION <br /> Method: GroundSurx. --- 5 <br /> vc OF <br /> Screening Method: — grout <br /> � ypaso <br /> Verified Chain of Custody: Yes�N� ft, 5, <br /> SPOILS <br /> Contamination Noted: 4K ❑ Yes []No — s <br /> If yes,spoils storage Location: Ci �� .monad = - <br /> aacaon t <br /> Covered: Yes ❑No _ grnvai Pack <br /> I�.tiS <br /> If yes,material: 4A Fh, p y�pfl <br /> GROUTING or DESTRUCTION Total Depth: Sl '_ ' aes o<w <br /> Depth to Water: tt ft. 8.z5 " 2 <br /> Grout Material: N�OGrA.t � g MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: S °• Casing Type: SozL, QReo2-, RG�%E- <br /> kWWell Installation ❑Well Destruction Blank Feet Screen Feet <br /> SlotSize: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water"cem Water cement 941b <br /> allons allens Ba s <br /> Thiel; TThick Thinnest 9Bags Bentonite/CementMix 3°/a Mix 5%Mix2.5 s 101 Bentonite er 47 Ib 1.41 2.47 <br /> s10 o2 Bentonite er 94 Ib 2.82 4.77.5 15 tl 3 3 i <br /> 10 20 4 20 40 4 <br /> 12.5 25 <br /> 15 30 30 60 <br /> 17.5 35 7 35 70 7 L�b'S� lJ �cQ b¢- <br /> 20 40 8 40 1 80 1 8 <br /> so/16/zoi7 <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 />