Laserfiche WebLink
a <br /> r2�r SAN JOAQUIN Environmental Health Department <br /> Si _ —COUNTY <br /> c"cfba+�o-' Greatness grows here <br /> y Monitoring Well/Soil Boring Inspection Report <br /> Date: 12 Inspector: r/1'j'7 1 r7� -0ao-CONSTRUCTION <br /> Facility Address: � " C i I J��r�c�_r Is f. <br /> Well Address: Total Depth: <br /> WP# .0 C -�9 V �" "Z Well#: Drilling Rig Type: S 9 <br /> Soil Boring#: A 1 ,6 Z, 6 4&q fjT�r� 1� -k'f z Min 2" Annular EHD Seal Verified: ElYes ❑No <br /> Drilling Company: h tragi �:A L� S oc�k4i2� <br /> -7_.) Screen Length From: To: <br /> Driller Onsite: " <br /> Consultant: `�✓ � vt ^71 (s_ Filter Pack From: To: <br /> - �t3 S YAC i � <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes 0 N casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLFr10N COMPLETCN <br /> Method: Grund Surf ac• <br /> Screening Method: er«ri <br /> Verified Chain of Custody: ❑ Yes El No -�—ft' <br /> ft. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: slotted <br /> a�c:on <br /> Covered: ❑ Yes ❑No = �� <br /> 191 . fo <br /> If yes, material: s <br /> —9z-. 1 S �= - <br /> GROUTING or DESTRUCTION Total Depth: ( T� 6 3 50 r3: <br /> Depth to Water: ( Cy to , tt <br /> —95' 10,Material: t..�4 Qy1ie/yx4 <br /> 8b � MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ( C' U�_ --Fl 1 Casing Type: <br /> ❑Well Installation ❑Well Destruction TZ Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation [913oring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> El Pressure Grout ❑Over Drill <br /> co 7 KZ,�. r � Filter Pack Type/Size: <br /> 1:1 Gravity ®Tremie CliOther: T✓ ^'a 1 Type of Method: <br /> Water Cemen 471b/ Water Cement 94 lb <br /> gall s Bas gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest .1 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 10 2 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.sicehd.com <br />