Laserfiche WebLink
_'°"�Vc° SANJOAQUIN <br /> —COUNTY Environmental Health Department <br /> Greatness grows here. <br /> / Monitoring Well/Soil Boring Inspection Report <br /> Date: �II 12 GZ� Inspector: SSS CONSTRUCTION <br /> Facility Address: -)&) Z(-)U 1 S e— , jotmt-cca <br /> Well Address: Total Depth: <br /> WP# 00 q 11 qg Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Ca SCS' E <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Cc 't^o ,Z'1^C• Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes XNo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes D?I o casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION C�rLEMN <br /> Method: Ground Surlaes If <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No Ir —ft. <br /> n. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: 30 alonad <br /> sacson <br /> Covered: El Yes ❑No S _ V,V OI Pack <br /> If yes, material: n <br /> GROUTING or DESTRUCTION Total Depth: ---"7 t? to i <br /> Depth to Water: I I ly2 t/ ll ft• ft' <br /> Grout Material: Alr-c i C er►z—t 61S3/ 'DEVELOPMENT <br /> Gallons of Grout Used: <br /> �f�S Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Borin Installation ,� Slot Size: <br /> g IzTttoring Destruction Bags of 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 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest kBags 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 /> )3�� VO�i e e I_ /r r B S- C bn�S -job c r. Q y- S bids Zs�wI, Q S—�e55 eke,3' 10/16/2017 <br /> r� U�trvVe 0 w S��Z� 2 6�a�S 309 J. ) , 13c.c C[:It v/a(,r-t <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sbcehd.com <br />