Laserfiche WebLink
SAN 10AQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 0(12,0111 Inspectjr: cSuk-hYQQt CONSTRUCTION <br /> Facility Address:_3) DuraoU E;t <br /> Well Address: Total Depth: b -T 2. 2 <br /> WP# 00'_Mq Z Well#: Drilling Rig Type: <br /> Soil Boring#: _ <br /> Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Compan S <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: kyV , Bentonite From: To: <br /> Grout From: 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: height <br /> SAMPLING ABOVE-GROUND __ <br /> Holding Temperature: COWLET10N coMptEnoN <br /> Method: Ground Surface T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> ft. <br /> SPOILS a. <br /> Contamination Noted: ❑ Yes ❑No <br /> a <br /> If yes,spoils storage Location: 1 totted ;` = B <br /> � p1� ►a -� <br /> Covered: ❑ Yes El No �� _ �,�� <br /> If yes, material: CG�2 <br /> Q1 � <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n• tt. <br /> Grout Material: Neat <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation I Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water cement 471b Water Cement 941b <br /> allons Bas izallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 f 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 70 7 <br /> 20 40 8 40 80 8 <br /> P10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />