Laserfiche WebLink
SANUEnvironmental Health Department <br /> —COUNTY-NT <br /> Greotness 9ror,s Frere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Loa?, <br /> 1 <br /> Date: � /�' ` ��Inspec�pr• �V CONSTRUCTION <br /> Facility Address: 300 1,5-- CoW o 110 v1J if <br /> Well Address:_C,,,-rQ Q -Hol Ow' X AaA S t le_Cnn4)�Total Depth: /C0 <br /> WP# (� C9,3 g I L, Vell#: DrillingRig Type: ��� �1 <br /> Soil Boring#: I. Min 2"Annular EHD Seal Verified: ElYes 1-1 No <br /> Drilling Company: P ►,—,- QY1 <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: rl V � Filter Pack From: To: <br /> r Bentonite From: To: <br /> Geologist: D <br /> s`{QGrout 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 ABOVE-GROUND <br /> Holding Temperature: COMPLETION oN <br /> Method: G=nd Surface `e <br /> Screening Method: grout 6 = dam <br /> Verified Chain of Custody: ❑ Yes El No ft. 1 <br /> 12 <br /> SPOILS <br /> v = w <br /> 0 <br /> Contamination Noted: El Yes ❑No <br /> o <br /> T. � Z <br /> °�y38 <br /> If yes,spoils storage Location: slotted _ a <br /> sac.on <br /> Covered: ❑ Yes ❑No = <br /> 9-VW Pack ��� <br /> If yes, material: = CIC <br /> GROUTING or DESTRUCTION Total Depth: ` y C2 . __ �D•�p <br /> Depth to Water: 4 o v M «' _ tt• <br /> Grout Material: <br /> 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 <br /> Filter Pack Type/Size: <br /> ❑ Gravity %Tremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 941b <br /> allons Bas eall ons 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 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 30 60 6 <br /> 17.5 (3-5-1 70 7 <br /> 20 IAT 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />