Laserfiche WebLink
SAN: JOA 0 U I N <br /> Environmental Health Department <br /> _.._COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> : { <br /> Dateu Inspector: - CONSTRUCTION D; a � <br /> Facility Address: n 4 A. V LP vec— 6 1 1 0 — <br /> Well Address: 11 Total Depth: <br /> WP# © Well#: Drilling Rig Type: S/ 20 —6,9 <br /> Soil Boring#: <br /> Drilling Company: &,e ; ,� Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: - Screen Length From: To: <br /> Consultant: K I ei h Filter Pack From: To: <br /> Geologist: �YNI e.t/ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING A80VE-GROUND <br /> Holding Temperature: OOWLPTION COOMP�LETION <br /> Method: G=ndSL f"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No —n' <br /> tt. <br /> SPOILS k <br /> Contamination Noted: ❑ Yes 11 No <br /> If yes,spoils storage Location: slotted — 3 <br /> Covered: El Yes ElNo �� <br /> — pray.l pads <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: • _ <br /> Depth to Water: n. tt' <br /> Grout Material: <br /> Gallons of Grout Used: '`- 7�+ .2 U AA. MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation)IBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ;KTremie ❑Other: Type of Method: <br /> Water CementIb Water Cement 941b <br /> allons BaJtj <br /> s allons Bags <br /> Thickest Thinnest aBags Thickest Thinnest 9Bags 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 l <br /> ba-3s . q,5 <br /> G1 , 10/16/2017 <br /> 18618 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.slcehd.com <br />