Laserfiche WebLink
SA N J 0 A 0 U I N Environmental Health Department <br /> �Pat, P' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3 20w Inspector: SLAk--1x CONSTRUCTION <br /> Facility A dress: 6D0 H-t, 0s-p AnytmUC'-TywG <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: C�7 <br /> Soil Boring#: P-T ) <br /> Min 2"Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: /-iZc&tt jEX 1-1'k. Screen Length From: To: <br /> Driller Onsite: 94) <br /> � Filter Pack From: To: <br /> Consultant:- -� OG( <br /> g• 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 F-1 No casing <br /> If yes, location and distance: height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: ��`4'�1ON aAPuEnoN <br /> Method: e°`°""°sumacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> ft. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: atoll _ - <br /> ssc9on <br /> Covered: ❑ Yes ❑No = 9—W P-ack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �J O ' <br /> Depth to Water: 2,7' <br /> Grout Material: Iyear 6tw <br /> 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 /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity [)4Tremie ❑Other: Type of Method: <br /> Water em nt 471b Water Cement 941b <br /> allons B allons Bags <br /> Thickest Thinnest uBags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> 5 7-5— 10 20 2 Bentonite per 94 Ib 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 204 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 209464-0138 1 www.s*cehd.com <br />