WP0041071 - Laserfiche WebLink

Home Browse Search

= u'"g SAKJOAQUIN Environmental Health Department P___-C , �.i —COU NTY— p IF Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: f 1Y–Z,# d Inspector: Ae-& - CONSTRUCTION Facility Address: z700 w . ult64 1 �- Well Address: Total Depth: WP#00 5//071 Well#: Drilling Rig Type: Soil Boring#: C27– Drilling Company: Zir4ek Min 2"Annular EHD Seal Verified: III Yes ❑No Driller Onsite: -- Screen Length From: To: Consultant: � Filter Pack From: To: eEl Geologist: -Qat12Ju t_ t Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: WT height SAMPLING AVE-GROUND Holding Temperature: COWPLETION a Jn_EnON Method: Ground Surfwo Screening Method: grout Verified Chain of Custody: ❑ Yes El No �tt' ft. tt. SPOILS Contamination Noted: ❑ Yes El No =` If yes,spoils storage Location: slotted _ B sacyon '<� — Covered: ❑ Yes ❑No _ g-91 Pack If yes, material: :x GROUTING or DESTRUCTION Total Depth: Depth to Water: Z /D 1 Grout Material: /VIor If car`s 14 MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑,`Well Destruction Blank Feet Screen Feet ❑Boring Installation CKoring Destruction Slot Size: Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: ��.// Filter Pack Type/Size: El Gravity LJTremie ❑Other: Type of Method: Water Ce "47 Water Cement 94 lb allons Bas gallons Bags Thickest Thinnest rt Bags Thickest Thinnest 11 Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 15 3 15 30 3 10 20 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 W*Ok 1.." 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com