WP0040123 - Laserfiche WebLink

Home Browse Search

'Qu,pc�z SAN�J0AQP � UIN Environmental Health Department 4A —COUNTY-- Greatness grows here Monitoring Well/Soil Boring Inspection Report Date: r �} Inspector: V)eGVTy.X 5Rekrn CONSTRUCTION Facility Address: Well Address: 21>✓''> N Grar)t LCcNe Rd. Total Depth: WP# Q(311 p_l2 3 Well#: Drilling Rig Type: Soil Boring#: a- Min 2"Annular EHD Seal Verified: ❑ Yes El No Drilling Company: �U�� i10 r e_S IZO Screen Length From: To: Driller Onsite: Consultant: - ' ' RC1 Filter Pack From: To: Geologist: fan l0 Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height SAMPLING ABOVE-GROUND _ CHRX Holding Temperature: COhtiF'LET10N coMPLISTY.EnoN Method: Ground Surface Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No �R. is. ft. SPOILS Contamination Noted: ❑ Yes ❑No If yes, spoils storage Location: .bid Covered: ❑ Yes ❑No _ 9-VW Pack If yes, material: GROUTING or DESTRUCTION Total Depth: ZO 0. Depth to Water: �2 ft. Grout Material: MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: ❑ �Boring InstallationBoring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: ❑ Gravity �Rremie ❑Other: Type of Method: Water a ent 471b) Water Cement 941b allons i, Bas gallons Bags Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% MIX 5%MIX 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 1 3 15 30 3 10 20 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 0 B 40 80 8 10/16/2017 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com