Laserfiche WebLink
1 <br /> SAN�JOAQUIN <br /> f � Environmental Health Department <br /> COUNTY— <br /> "c-,4 F Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1zJ '�-i;2L' Inspector: K.�5(�fitm CONSTRUCTION <br /> Facility Address:2T7)-?�C1 <br /> Well Address: Total Depth: <br /> WP# c eii Oq')9- Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: 'NIC- <br /> Driller Onsite: �'GTr`Yc� Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes,location and distance: height <br /> 777 � . <br /> SAMPLING �►sov a�oUND - <br /> Holding Temperature: co�"P�ioN r�nNoLtTiOxt <br /> Method: c mdrjd S"f"" <br /> Screening Method: <br /> Verified Chain of Custody: ❑Yes ❑No n- <br /> SPOILS — <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: <br /> stotwd �= c <br /> sscdon — <br /> Covered: ❑Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:,_ . •. <br /> Depth to Water: CjOi - ^` - <br /> Grout Material: eY1t[ i'1�If' (,�11%6u11C � <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Baring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Pressure Grout ❑ ver ODrill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑Gravity OTremie ❑Other: Type of Method- <br /> Water Cement 471b Water Cement 94 lb <br /> 11nns Bas goallans Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _Bentonite[Cement Mix 3%MIX Jr%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1A11 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 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 /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />