WP0040783 - Laserfiche WebLink

Home Browse Search

SAWAAQUIN Environmental Health Department —COU NTY– - t`�ug,� Greotness grows here. Monitoring Well/Soil Boring Inspection Report Date: 2-02 0 Inspector: �ijjirpd_ CONSTRUCTION Facility Address: 12-2, 7/ g 66!2 .l Ld , Ira Well Address: J Total Depth: WP# D o ti�)�2Well#: Drilling Rig Type: Soil Boring#: Drilling Company: .e _ ��, Min 2" Annular EHD Seal Verified: El Yes El No Driller Onsite: Screen Length From: To: Consultant: E Filter Pack From: To: Geologist:_ Bentonite From: To: g m�� Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes El No casing If yes, location and distance: WT height SAMPLING ABOVE-GROUND Holding Temperature: COWLETtON COMPLEMN Method: Ground Surfaces Screening Method: grout Verified Chain of Custody: ❑ Yes El No 4, f. it. tt. SPOILS . Contamination Noted: ❑ Yes ❑No — If yes, spoils storage Location: slotted _ S ascson Covered: ❑ Yes ❑No If yes, material: GROUTING or DESTRUCTION Total Depth: Depth to Water: L, 4 ft Grout Material: MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: El Boring Installation` Poring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ravity Premie ❑Other: Type of Method: i Water ,Cement 471b Water Cement 941b allons Bas allons Bags Thickest Thinnest Thickest Thinnest NBags Bentonite/Cement Mix 3% Mix 5%Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 4 b , W/ �5 q�QY�J :tv ✓ 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com