Laserfiche WebLink
• �U+N C <br /> SANJOAQUIN Environmental Health Department <br /> t <br /> --COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date Inspector: 0" 4- CONSTRUCTION <br /> Facility Address: 17q00a"' <br /> Well Add re Total Depth: <br /> WP# 0 Well#: Drilling Rig Type: <br /> Soil Boring#: — <br /> Soil <br /> Company: lj j Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: O Filter Pack From: To: <br /> Geologist: Zile 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: 00WLErlON co iw <br /> Method: a`°"m S"rr"' <br /> Screening Method: 9r� <br /> Verified Chain of Custody: ❑ Yes El No n' <br /> ft_ <br /> tL _ <br /> SPOILS -_ <br /> a <br /> Contamination Noted: ❑ Yes []No = r: <br /> If yes,spoils storage Location: 1abttia <br /> Covered: EJYes ❑No e,, ( � 3n pack <br /> _ �, <br /> 2 ,J r� <br /> If yes, material: f'JZ l2q,�51 <br /> GROUTING or DESTRUCTION Total Depth: 23i •. <br /> Depth to Water: 10-// 1 � n' n' <br /> Grout Material: &80k--fL.� - 1� S <br /> Gallons of Grout Used: 2-.20 QC,� MATERIALS DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation`((�Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> El Gravity 'pTremie ❑Other: Type of Method: <br /> Water Cemen 471 Water Cement 941b <br /> gallons Bags gall ons Bags <br /> Thickest Thinnest zBags Thickest Thinnest 11 Bags Bentonite/Cement Mix 3% Mix /o Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 <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 a 40 80 8 <br /> 146 J.-k 'Zy bis 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />