Laserfiche WebLink
SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> i Monitoring Well/Soil Boring Inspection Report <br /> Date: 2(D I Inspector: ��IAlf CONSTRUCTION 0, S _I Lj�-�- <br /> Facility Address: 6 Crr�y�Q <br /> Well Address: Total Depth: <br /> WP# C)K9q 32 Well#: Drilling Rig Type: <br /> Soil Boring#: �L, 2'. ot— `LA <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant:_ X 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 El No casing <br /> If yes, location and distance: height <br /> iii <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLFTION comPL neN <br /> Method: Ground surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No -�--n' <br /> tt. <br /> ft. <br /> SPOILS ; <br /> = e <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: ,bned = B <br /> soon x <br /> Covered: ❑ Yes ❑No = V, <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:k 0— <br /> Depth to Water: — n• tt' <br /> Grout Material: .P_i1aX1 <br /> 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 /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> l�Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons gallons Bags <br /> Thickest Thinnest 11 Bags 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 ILL 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 /> 0 '� �I l � Vt� �7 b) �" / gll�l�Y"' WCL"' ��6;/�2g0�17 <br /> U / J c V <br /> 1868 E. Hazelton Avenue � Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />