WP0041015 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY- Environmental Health Department J - -- Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: 8�3120�o Inspector: 'Sciage_ t CONSTRUCTION Facility Address: 122,0 DOvel DHY , IM / Well Address: Total Depth: /"5-1 � // WP# O Well#: Drilling Rig Type: a "S'4 Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No Drilling Company:- gfi�a, �p a z�iJ,r✓ Driller Onsite: a 0(� ' Screen Length From: To: Consultant: Rs A,&&DU/i,I ad Filter Pack From: To: Geologist: 'k6'stian•- Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes El No casing If yes, location and distance: height SAMPLING ABOVEGROUND Holding Temperature: CO&FLETION COMPLET7oN Method: Ground Surface Screening Method: 0, grout Verified Chain of Custody: ❑ Yes El No -�—n' n. it. SPOILS Contamination Noted: ❑ Yes ❑No — If yes, spoils storage Location: stoned sac-ion _ Covered: ❑ Yes ❑No = g, 1W Pack If yes, material: _= GROUTING or DESTRUCTION Total Depth: �3 _ Depth to Water: tY, = tt. Grout Material: /6 f" C_e MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑ Slot Size: Boring Installation MBoring Destruction Bags Size: Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: Gravity ❑Tremie ❑Other: Type of Method: Water ent 47N water Cement 941b allons eallons Bags Thickest Thinnest gs Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 s 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 s 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 1,15 32 15 30 3 10 0 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com