Laserfiche WebLink
a SAN 1 OA Q U I N Environmental Health Department <br /> �< <br /> —COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> S-4 Po2o <br /> Date: Inspector: hr2 CONSTRUCTION ��yy{,� <br /> Facility Address:_«y� kioxcl ' L4"' St cy-tyV k°tuW Yk4w 0 <br /> Well Address: Total Depth: <br /> WP# Chi OLI o 19 Well#: Drilling Rig Type: <br /> Soil Boring#: R 1 - � 3 <br /> Drilling Company: 6r L tt�s i, FY-t) C.v Min 2"Annular EHD Seal Verified: 1:1 Yes ❑No <br /> Driller Onsite: p6 Screen Length From: To: <br /> Consultant: 1 1 —j=afcr•k.k, Filter Pack From: To: <br /> Geologist: t //('V1Ltd, 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 ABOVE-GROUND <br /> Holding Temperature: COWPLEn°N CON% nON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No — <br /> If yes,spoils storage Location: slotted <br /> soon <br /> Covered: ❑ Yes ❑No = vlw <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �/ 20/ f 5 . • __ <br /> Depth to Water: C ln1 w 21 n• ft. <br /> Grout Material: NE'lil+ fyu�ylLt 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 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 l?(Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas eallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 s 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 so 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 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />