Laserfiche WebLink
SAN.{JOAQUIN <br /> —COUNTY Environrnen Health Department <br /> '•� '� •_ — "" <br /> ` Grf.utness groins here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:'L/2,3 k$ Inspector: �" )(.j CONSTRUCTION <br /> Facility Address: Z3Z' ' W <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: 4g-!l� t.r-s. NB-i�rJeK/nlrwl MtAr Na H Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Carr. <br /> Driller Onsite: ( Screen Length From: To: <br /> Consultant: 'r-P w6 v t ("''^•Q ;&WZy 4, Filter Pack From: To: <br /> — <br /> Geologist: �e✓��'S, ,w,� 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 <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING Asoy>w-GaoLNn <br /> Holding Temperature: cowLETION cHStsrr-sox <br /> comPLETiON <br /> Method: G=nd Surface–.�---- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> SPOILS —ft. <br /> 45 <br /> — <br /> a <br /> Contamination Noted: ❑ Yes El No = <br /> If yes,spoils storage Location: alonQd .µ <br /> Covered: ❑ Yes ❑No scn <br /> swat Ards <br /> If yes, material: ._ <br /> C .r .. <br /> GROUTING or DESTRUCTION Total Depth:Z,a{Z U <br /> 4% -&44 <br /> Depth to Water: 171 A �1 it. 'S = <br /> Grout Material: P,.,a,i- Gr-� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: L031 10 ) )o <br /> J Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Borin Installation Slot Size: <br /> g Ca�oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas allons Bags <br /> Thickest Thinnest 41Bags Thickest Thinnest 4Bags 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 www.s*cehd.com <br />