Laserfiche WebLink
QUI c^ <br /> SA6IOAQUIN Environmental Health Department <br /> -COUNTY <br /> r9 �R , ✓ Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 9111170 Inspector. ) CONSTRUCTION <br /> Facility Address: 9XU LL,, S f- Avg <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig-type: <br /> Soil Boring#: <br /> Drilling Company: (_(/-S cek Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: V ^1u .fir-c.. Filter Pack From: To: <br /> Geologist: to n 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CO�"��ION COMPLETION <br /> Method: G=nd Surf w* <br /> Screening Method: wlort <br /> Verified Chain of Custody: ❑ Yes El No -` n' <br /> n. <br /> tc. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: slotted <br /> sec�on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: rrll. <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 11. s ce-e--f ay-lv> (� 1r '13 tt <br /> Grout Material: Nt- C_e.t- ai-P-—'t ) rY <br /> Gallons of Grout Used: MATEWIALS/D VELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation l (Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ;Gravity �Tremie ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest IBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 s 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 s0 5 <br /> is 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 1 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 209 464-0138 1 www.socehd.com <br />