Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> \ P Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: -te Inspector: ,441WIv CONSTRUCTION <br /> Facility Address: 36P 4n'4 A of,5f Wil✓ <br /> Well Address: Total Depth: <br /> WP#ao3f'7U7 Well#: Drilling Rig Type: <br /> Soil Boring#: !,3/, F/,3, `/,,>­ „ <br /> Drilling Company: lv �cr <br /> Min 2 Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: /��r/'1�-� Screen Length From: To: <br /> Consultant:��16>ft, Filter Pack From: To: <br /> Geologist: '2u c K <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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING Agpyg.3p0UNp <br /> Holding Temperature: COWPLETION CaWLETION <br /> Method: t3=wS"rf"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No -�--ft <br /> n. <br /> tt. <br /> SPOILS f : <br /> !3i, 4 <br /> Contamination Noted: El Yes ❑No <br /> 31) T° <br /> If yes spoils storage Location: y <br /> a <br /> r% stottnd _ _ <br /> sacyan t <br /> Covered: ❑ Yes ❑NoQ-91 Pack <br /> bs <br /> If yes, material: 13 yi . <br /> .. <br /> GROUTING or DESTRUCTION Total Depth: --It' <br /> =_ <br /> Depth to Water: Z ' —ft tt. <br /> Grout Material: A f"-1' '1 <br /> Gallons of Grout Used: 2e� _ zq le'. i y , k ),- <br /> MATERIALS/DEVELOPMENT <br /> ����� I —� Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ElBoring Installation KBoring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity NTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest tlBags Thickest Thinnest 'V Bags BerltonitefCement 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />