Laserfiche WebLink
`�°" C10" <br /> SAN <br /> .e10AQUIN r � Environmental Health Department <br /> COUNTY---- <br /> °9,,r �P'' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 8 �d 2.0 Inspector: Sc,tf_'krtA CONSTRUCTION <br /> Facility Address: f G`q I mcigh;GW <br /> Well Address: �— Total Depth: <br /> WP# 004(057 Well#: Drilling Rig Type: IN.5�t)(; I S4fy'y <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: 6"yV <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: G Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE GROUND <br /> Holding Temperature: COMPLETION cccf. CN <br /> . <br /> Method: G=na S"}"' If <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: atonad = S <br /> sac Jon <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ '? <br /> Depth to Water: fL n' <br /> Grout Material: <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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water 'Cent 4 Ib Water Cement 94 lb <br /> allons Bas eallons Bags <br /> Thickest ThinnestBags 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 lU 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />