Laserfiche WebLink
-rnuin,�. <br /> /110SAKJOAQUIN <br /> Environmental Health Department <br /> -COUNTY--- <br /> ``cka Pr' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:g i 12� Inspector: ��(,l 1 t1CJ1 CONSTRUCTION <br /> Facility Ads dress: 1 cc}OV D On <br /> Well Address: Total Depth: <br /> WP# O O LA1 ZC Well Drilling Rig Type: <br /> Soil Boring#: 1 <br /> Drilling Company:��1PO Gx. SU ,�Ur t.[? �xp�af4�r�c)�1Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Cb-I( \&,-, `� Tuayy�1 rios Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> � <br /> GS C,(; <br /> Bentonite From: To: <br /> Geologist: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> —CWT <br /> SAMPLING ABOVE-GROUND CHR__ <br /> Holding Temperature: 00hPLETON CCMPLEnON <br /> Method: Ground Sudwe '+'�_ <br /> Screening Method: or" <br /> Verified Chain of Custody: ❑ Yes EJ No —` n. <br /> it. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes,spoils storage Location: abed <br /> arCIon <br /> Covered: ❑ Yes ❑No _ 9-01 Pack <br /> If yes, material: <br /> 1- .Y <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: �2 F:t <br /> Grout Material: f1 <br /> Gallons of Grout Used: l� MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring 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 IN.Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest xBags Thickest Thinnest J1 Bags Bentonite/Cement Mix 3% Mix 3%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 /> 1D 20 4 20 40 4 <br /> 12.5 25 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 35 70 7 <br /> 220 40 8 40 1 80 1 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 />