Laserfiche WebLink
Llpwb <br /> SAN JOAQUIN <br /> Environmental Health Department <br /> " -COUNTY <br /> --- <br /> ' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date Inspector: �0" _ CONSTRUCTION <br /> Facility Address: jL100 Ae4j,7a.,�, <br /> Well Add Total Total Depth: /I <br /> WP# Well#: Drilling Rig Type: S <br /> Soil Boring#: — <br /> Drilling Company: �j 14LJ Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> �� <br /> Driller Onsite: � Screen Length From: To: <br /> Consultant: yr, Q Filter Pack From: To: <br /> Zile <br /> Bentonite From: To: <br /> Geologist: <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: COWLEMN corLEnoN <br /> Method: Ground Surface <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes 0 N —n' <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =` _ <br /> If yes, spoils storage Location: 2 abn&d <br /> aKJon _ B <br /> Covered: ❑ Yes El No <br /> g-w+tack <br /> If yes, material: oz. 0< <br /> GROUTING or DESTRUCTION Total Depth: �j 3' �3' I IF <br /> Depth to Water: 10 -/ ,) (a S n- tt. <br /> Grout Material: /y8e� 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 <br /> (( 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 /> ❑ Gravity }Tremie ❑Other: Type of Method: <br /> Water Cemen 471 Water cement 94Ib <br /> gall!ons Bas allons Bags <br /> Thickest Thinnest :f Bags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix-- . Mix <br /> 2.s 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 8 40 80 8 <br /> y'5 �Z y b 9S 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.slcehd.com <br />