Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> --COUNTY - <br /> L1'_?tii <br /> �j Monitoring W� ell/Soil Boring Inspection Report <br /> Date: J5 nspe tor: V 1 l� CONSTRUCTION <br /> Facility Address: { 1A✓h _t <br /> Well Add,-Pss: Total Depth: <br /> WP# W II#: Drilling Rig Type: jl l t N <br /> Soil Boring#: r ) Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ay VANVA-- <br /> Driller Onsite: �,f�_S)Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: y�6 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: im <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COLVLETION CELE ION <br /> Method: kimono su'face—+ <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> 7 1 - <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = •" <br /> If yes,spoils storage Location: &tonna <br /> &ac ion = B <br /> Covered: ❑Yes ONO <br /> If yes, material: <br /> t 4: <br /> GROUTING or DESTRUCTION Total Depth: <br /> - <br /> Depth to Water: ft• _ ft- <br /> Grout Material: rdy \ <br /> Gallons of Grout Used: cj PX, J AATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction V�,UUfr``��ll PA Blank Feet Screen _Feet <br /> ❑Boring InstallationloBoring Destruction ujSlot Size: <br /> Bags of Cement: <br /> METHOD USED \ re b'yt5 Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill O'A S+-� -P,_ Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> �14ravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas gaill ons gags <br /> Thickest Thinnest 4Bags Thickest Thinnest 9Bags 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 1 70 7 <br /> 20 4 8 40 1 80 8 <br /> O �J` 'jO 60 �}� kA.- 10/16/2017 <br /> 1868 F -14azelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />