Laserfiche WebLink
tY PpUINC�� SANs10AQUIN <br /> -E+ \ <br /> rw rs � Environmental Health Department <br /> COUNTY— <br /> Greatness grows here <br /> Monit��o�,riin"g.�Well/Soil Boring Inspection Report <br /> Date: I(e � Inspector: Sqr- NPS CONSTRUCTION <br /> Facility Address: 25201 S.(1ams�rvRd.�rAo� /� <br /> Well Address: Total Depth: <br /> WP# ()Q)LA6-9$5' Well#: Drilling Rig Type: <br /> Soil Boring#: 6 1 <br /> Min 2"Annular EHD Seal Verified: El Yes 11 No <br /> Drilling Company: -1apI <br /> Driller Onsite: D\As Screen Length From: To: <br /> Consultant: kpi l �f r Filter Pack From: To: <br /> Geologist: U(-jX'a4Ai <br /> 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 El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND CHMM_ <br /> Holding Temperature: COMPLETION COMPLEnoN <br /> Method: Ground Sudws T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No i--n' <br /> ft. <br /> ft. <br /> SPOILS = <br /> avw = o <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: allotted <br /> action -- B <br /> Covered: ❑ Yes ❑No <br /> g-VW Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ - . <br /> Depth to Water: <br /> W <br /> Grout Material:— New- <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 'q�-Tremie ❑Other: Type of Method: <br /> Water emeht 471b Water Cement 941b <br /> allons Bas R21111 ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% 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 /> 16 r/ j� V/ 9) DAW i gtv- 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />