Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
au IV C <br /> 2°"�-°°z. SMJOAQUIN <br /> < Environmental Health Department <br /> —COU NTY— <br /> cq` rj- Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: t6i Inspector: `,``.� t`L CONSTRUCTION <br /> Facility Address: C,--) q 5') 13 GC�c� 'Cti,yw p <br /> Well Address: Total Depth: <br /> WP# n(21 12 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Compa y: kZVT-y1,1 ,y0" Min 2"Annular EHD Seal Verified: El Yes 11 No <br /> Driller Onsite( Screen Length From: To: <br /> Consultant: T� Filter Pack From: To: <br /> Geologist: 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND CHR__ <br /> Holding Temperature: CONFLETION COMPt.EnON <br /> Method: Ground Sufacs <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes E]No <br /> If yes, spoils storage Location: slotted = . <br /> sacion — <br /> Covered: ❑ Yes El No = g­+rack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 10 y _ <br /> Depth to Water: ft 2tt. <br /> Grout Material: o-L" 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 ❑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 /> gallons Bas gallons Bags <br /> Thickest Thinnest VBags Thickest Thinnest bBags Bentonite/Cement Mix 3% Mix 3% 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 /> 1. 30 7 30 60 6 5o , S <br /> 17.5 35 7 35 70 7 •J `� �111 <br /> 20 40 8 40 80 8 <br /> VLi jf /017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />