WP0041062 - Laserfiche WebLink

Home Browse Search

SAN�JOAQUIN Environmental Health Department COUNTY— �c�`rPy, Greotness grows here. Monitoring Well/Soil Boring Inspection Report Date: + Z°(� Inspector: Fto 6;142}q' 41- CONSTRUCTION Facility Address: l)zi AMcCkg,�_ , ,�� Well Address: Total Depth: WP# bQ'A �66`1- Well#: Drilling Rig Type: L✓ Soil Boring#: S h – Ik Drilling Company: M\ wa Min 2"Annular EHD Seal Verified: 11 Yes ❑No Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height iii _ CWT SAMPLING ABOVE-GROUND CHRIM_ Hol&ng Temperature: CONFLETION COMPLETION Method: Gmund Surf=* Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No n. n. SPOILS Contamination Noted: ❑ Yes El No r" If yes, spoils storage Location: slotted c sacJon ' Coveted: ❑ Yes ❑No gravel p--k If yes, material: GROUTING or DESTRUCTION Total Depth: . Depth to Water: to. �r ,,V tL — n- Grout Material: �.,,�� P vy Gallons of Grout Used: MATERIALS/DEVELOPMENT Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation [Boring Destruction Bags iz Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity X-Tremie ❑Other: w"( Type of Method: Water Cement 471b Water Cement 941b allons Bas gall ons Bags Thickest Thinnest 0Bags Thickest Thinnest i7 Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 25 50 5 15 30 ki 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sbcehd.com