Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
SAN JOAQUIN <br /> Environmental Health Department <br /> �z <br /> COUNTY <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: \-*-Z0Zb Inspector: X CONSTRUCTION <br /> Facility Address: 1 1 <br /> Well Address: _ _ _ OAL' (P,_ gS241 Total Depth: <br /> WP# i ��7'� Well#: Drilling Rig Type: <br /> Soil Boring#: "RL <br /> �- Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: fr <br /> Driller Onsite: a1V�Y\ Screen Length From: To: <br /> Consultant: V1 Filter Pack From: To: <br /> Geologist: ly( 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 /> 17 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CC#AP�loN <br /> Method: G=nd S`Ai°" <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> tt. <br /> it. <br /> SPOILS <br /> = a <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: abed <br /> s�c'an <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: V� <br /> Depth to Water: p ft. — n <br /> Grout Material: tV(�A (?e1V'pf�� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: IS Ga. <br /> i Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation gBoring Destruction 5` Slot Size: <br /> 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 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest RBags Thickest Thinnest tlBags 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 z 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 /> 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 />