Laserfiche WebLink
SAWJOAQUIN Environmental Health Department <br /> sty= —COUNTY <br /> Greatness groes Fere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:G l'2(o I Q Inspector: Yi Rsi-fnc. SCejer(\ CONSTRUCTION <br /> Facility Address: 251oc e_ Woven ocz <br /> Well Address: Total Depth: <br /> WP# 004 cOC-1 Well#: Drilling Rig Type: <br /> Soil Boring#: Cpt4 ?) Min 2" Annular EHD Seal Verified: El ❑No <br /> Drilling Company: %\Ac-jrj1P r.Qy�- neo rcx<„7 <br /> Driller Onsite: Suc,n Screen Length From: To: <br /> Consultant: Wn(�c,cP- Kitr)t_ 1� Filter Pack From: To: <br /> Geologist: T k:e Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes E]No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: T height <br /> 9— —Ww-f <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: C.OWPLErJON CO�MPLEnON <br /> Method: Ground Surlacy <br /> Screening Method: groLd <br /> Verified Chain of Custody: ❑ Yes ❑No -�—n• <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: atottad <br /> tactionZM <br /> = <br /> Covered: ❑ Yes ❑No <br /> prava pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 5 (X2 <br /> Depth to Water: n- IF F <br /> n' <br /> Grout Material: 1vea4cemec, MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: A-15 qw <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity CV�fremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 94 lb <br /> allons Bas izallons Bags <br /> Thickest Thinnest »Bags Thickest Thinnest ttBags 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 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 /> i 5 ns A bq� 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.smcehd.com <br />