Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> —COUNTY <br /> Greatness grows her, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:-F2 - CONSTRUCTION <br /> ss: 2 ( <br /> Facility Addr nja WOLt 1 <br /> Well Address: Total Depth: <br /> WP# 0039 —Well#: Drilling Rig Type: <br /> Soil Boring#: 2 L-1 (0 7 1ll <br /> Drilling Company: &ya 61V\. Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: (ac.f1 Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: ,� <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 Casi ng <br /> If yes, location and distance: height <br /> SAMPLING AsovE-GacuND <br /> Holding Temperature: COAs=10N �{rnacN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft' <br /> tt. <br /> h. <br /> SPOILS _ <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: 9 2 .tonna <br /> Covered: El Yes El No <br /> = <br /> If yes, material: 1 20 _ <br /> GROUTING or DESTRUCTION Total Depth: 20—3cX4 = <br /> Depth to Water: (0n tt' <br /> Grout Material: ceymAt MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Boring Destruction Slot Size: <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 PTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Baas 9.allons Bags <br /> Thickest Thinnest "Bags Thickest Thinnest ^"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 10 20 Bentonite per 94 Ib 2.82 4.7 <br /> T5 15 15 30 <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 40 80 S <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />