Laserfiche WebLink
�pU+ry <br /> 'P; SQN: JOQQUIN Environmental Health Department <br /> I" <br /> --COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: _ Inspector: CONSTRUCTION <br /> Facility Address:__Cd7" �.(5"� "O ( ti�b L fM <br /> Well Address: Total Depth: `a <br /> WP# 0 VqO5 Well#: A&';2 - Drilling Rig Type: LAy UUtA L-10 LM_ <br /> Soil Boring#: VS-Apo <br /> � v <br /> Drilling Company: -,A$ItQ 1t Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: 10 0.,i' e. <br /> Screen Length From: 1Z D To: <br /> Consultant: X & Filter Pack From: L Gd To: <br /> Geologist: 1001 i_ty t I'V761_ Bentonite From: 175-- To: I� <br /> Grout From: © b 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 /> T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: �W9_ OOWPLEfION CHRMW-BOX <br /> Method: G=nd swxfacs <br /> Screening Method: <br /> I � <br /> Verified Chain of Custody: ❑ Yes F-1 No <br /> SPOILS - _ <br /> Contamination Noted: ❑ Yes 1__ANo <br /> i: _ •. <br /> If yes, spoils storage Location: .bn.d = c <br /> ascdon _ <br /> Covered: ❑ Yes []No r' <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �> �. _ 4, <br /> Depth to Water: 2 -� M 5 tL <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS DEVELOPMENT <br /> Casing Type: 40 <br /> ell Installation ❑Well Destruction Blank ZDV Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: '21p" <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: 1 b �AB Oz.s <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite� % � C� <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas aallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags 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 30 1 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 40 1 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 9464-01438 w <br /> 464-0138 ww.sice m <br />