Laserfiche WebLink
SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> °9��Foa�P Greatness grows here. <br /> I Monitoring Well/Soil Boring Inspection Report <br /> Date: I�/ Inspector: I •0L A CONSTRUCTION <br /> Facility Address: m L% Ise•►-(j Vr <br /> Well Address: / Total Depth: T <br /> WP# Well#: Drilling Rig Type: ( /, ZS i vt • <br /> Soil Boring#: GIP - S Clp <br /> � Min 2" Annular EHD Seal Verified: El Yes ONO <br /> Drilling Company: eD - <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 0-m t Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION COMPLEr1oN <br /> Method: Ground Surface <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes El No <br /> tt. <br /> ft. <br /> SPOILS k <br /> = o <br /> Contamination Noted: ❑ Yes El No n <br /> If yes, spoils storage Location: S- GI_ 7'3 : 11-5-slotted <br /> soon = B <br /> Covered: ElYes ❑NoS,—CIn TPack <br /> T• ZS = � <br /> If yes, material: ((�� <br /> GROUTING or DESTRUCTION To al Depth: s <br /> Depth to Water: ^- n- n' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:_,,-- 0" • Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation boring 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 XTremie ❑Other: Type of Method: <br /> Water Cement 7lbWater Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest aBags Thickest Thinnest uBags Bentonite/Cement Mix 3% MIX 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s to z 1 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 /> f_��C <br /> I 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />