Laserfiche WebLink
'C,',C�''�•Y SANJOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:2 2 2C U Inspector: k.5aet p!r n CONSTRUCTION <br /> Facility Address:21a1 N.2UC44xrnun <br /> Well Address: Total Depth: <br /> WP# OO4(ML) Well#: Drilling Rig Type: a'' <br /> Soil Boring#: C2T *l , CP'T Aka Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: GrNT�c`i kj nQ <br /> Driller onsite: 1�utKr, 3t�rc�r_ <br /> Screen Length From: To: <br /> Consultant: kie�'r�.►c�,r <br /> Filter Pack From: To: <br /> Geologist: MegcAy) 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COt"� �N EnoN <br /> Method: G=nd S"f <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No '` = <br /> If yes, spoils storage Location: r ,, <br /> stonad <br /> sac,on <br /> Covered: ❑ Yes ❑Nogmf Pack <br /> _ <br /> If yes, material: = <br /> GROUTING or DESTRUCTION Total Depth: ,1C)0�} <br /> Depth to Water: _ - <br /> Grout Material: 112C1-V Cernent <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ring 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 2ffremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons vall ons Bags <br /> Thickest Thinnest ABags Thickest Thinnest #Bags Bentonite/Gement Mix 3% Mix 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 1 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />