Laserfiche WebLink
>ornuiN�. <br /> SAN�J0A0UIN <br /> Environmental Health Department <br /> r <br /> —COUNTY-Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> �20 oza 3o7� tv1lnLrs^ w <br /> Date: I 1 Inspector: �l t CONSTRUCTION <br /> Facility Address: Maki SA WXM k M11_ wv'�J � 61101 _F(0-t <br /> Well Address: Total Depth: <br /> WP# 0G 0 Well#: Drilling Rig Type: <br /> Soil Boring#: 1- -9'�S Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: �—Yn^w <br /> Driller Onsite: a"QCT"/ Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: P-P-M+w 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: 17 height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION cCOMPI.enON <br /> Method: Ground Surface + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes 0 N �---n' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No = <br /> If yes, spoils storage Location: slotted = - <br /> "C"on —_ <br /> Covered: ❑ Yes ❑No <br /> Brawl pacts <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1 / <br /> Depth to Water: NO aw <br /> Grout Material: N e& a MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation NBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> YGravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 47lb water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest trBags Thickest Thinnest bBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.s 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 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 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.socehd.com <br />