Laserfiche WebLink
SAN J OAQ U I N Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: GIVNM Inspector: f ,;vd <br />Facility Address: 110 (-,­mg6e[i Pe -1 C -Sq -foo C--`/6320 <br />Well Address: IqI16 fa-fbeil A;",d cola^ C" `?632e' <br />WP# i0f0GgI06gf Well#: <br />Soil Boring#: <br />Drilling Company:!�G <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />gAI\API Ir\[( <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes []No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: io <br />Depth to Water:ftp,-GSC is <br />Grout Material: 20 (�e-o -6nr4,e— <br />Gallons of Grout Used: he",' y <br />®Well Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 1�4Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br /># Bags <br />Thickest Thinnest <br />tlBags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTION <br />Total Depth: 255 <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ® Yes ❑No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: G -cd t <br />Grout From: To: <br />COMPLETION N Stove Pipe []Christie Box <br />casing <br />height <br />AWVE-GROUND CHFW-' Y -Pox <br />COMPLETION COMPLETION <br />around sr rtx, .�-- <br />grout <br />ft. <br />ft. <br />ft. <br />c` C <br />O <br />sloned <br />sacjon =_ <br />—ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet - <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s6cehd.com <br />