Laserfiche WebLink
LAN JOAQUIN Environmental Health Department <br /> LWi _ - COUNTY— <br /> °q,. "' Greatness grows here. <br /> \ Mongit�orin(g,, Well/Soil Boring Inspection Report <br /> Date: I 1 Inspector: W� 01. CONSTRUCTION <br /> Facility Address: <br /> Well Address: %3?2 �.�(1�Z p,� �� • Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: M���VL1�.fj QQ��3.ly. Min 2" Annular EHD Seal Verified: E] Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> g� <br /> Grout From: To: <br /> _ 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:lt7 �( ��� ' height <br /> QST ' <br /> SAMPLING ABOVE GRWNp <br /> Holding Temperature: COVPLION C�OMP�LEnON <br /> ET <br /> Method: Gond suiaca <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> tt. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stoned <br /> sac5on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _ <br /> GROUTING orIDESTRUCTION Total Depth:-II <br /> Depth to Water: k!!�'O .�N "�%0, n• <br /> Grout Material: ul)oCOyS.st,. MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation 1Iwell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3%Mix 5%Mix <br /> 2.5 5 1 s 1 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 5o 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 8 40 1 80 1 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />