Laserfiche WebLink
purr, <br /> SAN JOAQUIN Environmental Health Department <br /> --COUNTY---- <br /> Greatness grows here. <br /> // Monitoring Well/Soil Boring Inspection Report <br /> Date: C &'Z()jnspec Vv CONSTRUCTION <br /> Facility Address: L UV f I i�jA/1P; <br /> Well Address:� 1 ��Total Depth: <br /> WP# el �' Drilling Rig Type: S v <br /> Soil Boring#: /9 n 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: c��.D ►N `a� ,— Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: e^� Filter Pack From: To: <br /> Geologist: c� 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 El No casing <br /> If yes, location and distance: TffLT height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLE ION COMPLEnoN <br /> Method: Ground Surface <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes 11 No -y---n' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No r` <br /> If yes,spoils storage Location: slotted <br /> sacion r_ <br /> Covered: ❑ Yes ❑No __ grafi Pack <br /> If yes, material: _= <br /> GROUTING or DESTRUCTION Total Depth:_ <br /> Depth to Water: n- n' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Idoring Destruction Slot Size: <br /> 1 Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 115, <br /> Tremie ❑Other: Type of Method: <br /> Water Cement,01b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest uBags Bentonite/Cement 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 t'rxl 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />