Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> —COUNTY— - <br /> Greatness grows here. <br /> _7Monitoring Well/Soil Boring Inspection Report <br /> Date: � � Inspector: !��l`� CONSTRUCTION <br /> Facility Address: 2 <br /> Well Address: Total Depth: � S .� <br /> WP# (9 o Well#: Drilling Rig Type: / (ice <br /> Soil Boring#: <br /> Drilling Company: (4/' <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Al Filter Pack From: To: <br /> Geologist: 1. b-r i c <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El 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: COWLErlON CC06APLETION <br /> Method: Ground mace <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes 11 No <br /> fill. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stoned '' <br /> s�cJon <br /> Covered: ❑ Yes ❑No = gravel pack <br /> If yes, material: ` <br /> GROUTING or DESTRUCTION Total Depth:�F� <br /> ME=— <br /> Depth to Water: n- n' <br /> Grout Material: d/� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: d- <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation`F�Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity K-Tremie ❑Other: Type of Method: <br /> Water Cemed71b Water Cement 94 lb <br /> allons Bagallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest if 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 /> 73U '; YJo_� 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.slcehd.com <br />