Laserfiche WebLink
`PYA` SAN 10AQUIN <br /> 19 <i- COUNTY Environmental Health Department <br /> Greatness grows her; <br /> q <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:�/ Inspector: l A-- A CONSTRUCTION <br /> Facility Address: i <br /> Well Address:, N b� 32 $ 5'f". Total Depth: 2LO <br /> WP# OD 3 99 9 6 Well#: I Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ' �4 <br /> Driller Onsite: Screen Length From: To: <br /> i <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes INo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes BNo casing <br /> If yes, location and distance: height <br /> SAMPLING ABCVE-G ROUND <br /> Holding Temperature: CO g'�1ON G iLEMN <br /> Method: Ground Svtacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stoned '' <br /> sac;on ' <br /> Covered: ❑ Yes []No = 9,-W Pack <br /> If yes, material: ^=F <br /> GROUTING or DESTRUCTION Total Depth =_ <br /> Depth to Water: IF n' <br /> Grout Material: 4-LXX+ &oft —+ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 236 <br /> Casing Type: <br /> Nell Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel- <br /> Type/Brand of B Ite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cemen 471" Water Cement 941b <br /> allons Bas gall ons Bags <br /> Thickest Thinnest uBags Thickest Thinnest NBags Bentonite/Ce t Mix 3% Mix % iX <br /> 2.5 5 1 5 10 1 Bentonite pe 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 70 7 <br /> 20 40 8 1 40 80 8 <br /> '-,7 5b�� 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />