WP0037733 - Laserfiche WebLink

Home Browse Search

SANsJOAQUIN Environmental Health Department COUNTY quoa"' Greatness grows here. lG Monitoring Well/Soil Boring Inspection Report Date: `[ Inspector: 57" .- CONSTRUCTION Facility Address: uw e-W Well Address: �'af�— siA Total Depth: lr 57K wP# oc;�37"7 3 3 Well#: Drilling Rig Type: Soil Boring#: IL�--�.,'7 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No Drilling Company: Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height —EWT SAMPLING /180VE-GROUND Holding Temperature: COWLETION co4oMPLEnoN Method: Ground Sumacs Screening Method: arocrt Verified Chain of Custody: ❑ Yes ❑No �ft' it. SPOILS a= _ - Contamination Noted: ❑ Yes ❑No r` If yes, spoils storage Location: .tottad ascson Covered: ❑ Yes ❑No = giravw Pack If yes, material: 2. GROUTING or DESTRUCTIQU, Total Depth: Depth to Water: n- tt' Grout Material: Gallons of Grout Used: MATERIALS/DEVELOPMENT Casing Type: []Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation [Boring Destruction Bags iz Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity *Tremie ❑Other: Type of Method: Water Cement 471b Water Cement 941b allons Bas gallons Bags Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 10 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com