Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY---- <br /> U t: <br /> OUNTY---- <br /> Vr6Ot: s5 •f�0'.vS h•,,,. <br /> Monitoring Well/Soil Boring Inspection Report <br /> P <br /> Date: ZOR inspector: �(�.' �g�� CONSTRUCTION <br /> e <br /> Facility Address: nib ,/3Y I— <br /> yj -tD s <br /> Well Address: Total Depth: <br /> WP# 3 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: 01 Screen Length From: To: <br /> Consultant: FU,✓ �}'1�� <br /> Filter Pack From: To: <br /> Geologist: 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 AgpyE.GRO ND <br /> Holding Temperature: COMPLETION c�tE orXi <br /> Method: Ground Surface <br /> Screening Method: araut <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑NoAr <br /> If yes, spoils storage Location: Q q_2J abs <br /> D I <br /> an <br /> Covered: ❑ Yes ❑N (0— 2(� _ gravel Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: z0ft <br /> Grout Material: IN CA �,Pvttot: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <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 ILPTremie ❑Other: Type of Method: <br /> Watera ent 471b Water Cement 941b <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest 1t Bags Thickest Thinnest Bags BertltonitelCement Mix 3% Mix 3%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 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 /> q[I w , ,r/ 0 � 10/16/2017 <br /> 1868 E. Hazelton AveWie I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.smcehd.com <br />