Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness <br /> OUNTYGreatness grows hare. <br /> t <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Mi l b�I(0. inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: 1h9..L� Q.0_ ZsaQv�sEL4,&Aj*�, Q v*R Total Depth: �5 <br /> WP# Well#: SxVevco�Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company:' ���n Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> �Q1�,(nls bQ <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: <br /> Filter Pack From: To: It /pY2""Ptc <br /> ���q W�r,�c tom P�io�l�oNr�O�, P�p.�,6� <br /> Geologist: 3*A Q5 Bentonite From: To: <br /> Grout From: To: 3, �'5 <br /> Public Water System Onsite: ❑ Yes o COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes tN 0 casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-61RO.ND <br /> Holding Temperature: COWLS ION <br /> comPLE'ricisi <br /> Method: Grand sumacs'+ '— <br /> Screening Method: Drag <br /> Verified Chain of Custody: ❑ Yes El No <br /> tt. it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: _ <br /> ssc•on <br /> Covered: 11 Yes El No i�i _ iaCk <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ �r, . =_ . <br /> Depth to Water: fL n- <br /> Grout Material: to k&s « MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Ael <br /> w Casing Type: <br /> stallat� ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Dover Drill Filter Pack Type/Size: <br /> vv�`Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> ailons Bas 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 /> s 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 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.secehd.com <br />