My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0041062
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MCCLOY
>
1121
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0041062
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/17/2021 1:48:53 PM
Creation date
10/29/2020 4:43:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041062
PE
4372
STREET_NUMBER
1121
STREET_NAME
MCCLOY
STREET_TYPE
AVE
City
STOCKTON
Zip
95203-
APN
16203007
ENTERED_DATE
8/6/2020 12:00:00 AM
SITE_LOCATION
1121 MCCLOY AVE
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
48
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
u .�,_,� SAN—COUNTY N Environmental Health Department <br /> �.��,��a`.• Greotness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ��9�1 Inspector: �rNft�W' CONSTRUCTION <br /> Facility Address: <br /> Well Address: _1k21 AA e-GovAk,,.e, . G.1-oC,�*�tn Total Depth: �� <br /> WP#__Qd 440 6'i Well#: Drilling Rig Type: 1-t'l cle! <br /> Soil Boring#: Vi5N_15%) <br /> + Min 2"Annular EHD Seal Verified: El Yes []No <br /> Drilling Company ASL wt,(( Ab,,,Ue, k.••..l <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Filter Pack From: To: <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 ❑No casing <br /> If yes, location and distance: im height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION cCOMPLEnON <br /> Method: Ground Surface <br /> Screening Method: Oran <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> it. <br /> SPOILS w <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: stoned <br /> soon <br /> Covered: ❑ Yes ❑No _ enw+aack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _ <br /> Depth to Water: <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation �oring 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 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest J1 Bags Thickest Thinnest 9Bags 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 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 209464-0138 www.slcehd.com <br />
The URL can be used to link to this page
Your browser does not support the video tag.