Laserfiche WebLink
12 %c SA <br /> NJOAQUIN <br /> couNTv— Environmen Health Department <br /> J <br /> Greatness groins stere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: / Inspector: IOA^AiV%Q_ CONSTRUCTION <br /> FaciIityAddress: / 6'?qa el<j � <br /> Well Address: D� J_otA i Se .oQ, Total Depth: �1 1 <br /> WP# (;IO3��j Well#: P iL -3 Drilling Rig Type: 5oyi I e_ A�r i ( � <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ><Yes ❑No <br /> Drilling Company: ti ;I l i vu1 1 r Ic <br /> Driller Onsite: R)"C4 Screen Length From: To: I <br /> Filter Pack From: To: 3 <br /> Consultant:��,U5c,�w►-I-tG �_ �ledre iso <br /> Geologist: .jC410- Bentonite From:Q3 To: 1 ' O U <br /> Grout From: To: � <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing <br /> If yes, location and distance: 17—T <br /> height <br /> SAMPLING '- <br /> ,>tsoVE-�i13nr.Jran c�,��srr-cox • <br /> Holding Temperature: CO&PLETION couPt> rioN <br /> Method: c�wna sut� <br /> Screening Method: ofo�t <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: _ <br /> .o <br /> s[or,�d ar <br /> aK;on = A <br /> Covered: El Yes ❑No _— <br /> If yes, material: <br /> GROUTING r DESTRUCTION Total Depth: _ A. <br /> _@ ater: '1�®' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: !.>'KH SSG PVC <br /> Nell Installation ❑Well,Destruction Blank _Feet Screen— 0 Feet <br /> El Boring'] Slot Size:Installation ❑Boring Destruction 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 �4Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags Rallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest NBags Bentonite/Cement Mix 3% Mix r5% 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 6 30 60. 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1368 E. Hazelton Avenue I Stockton,Califamia 95205 1 T 209 468-3420 1 F 209 4640138 1 www.sicehd.com <br />