Laserfiche WebLink
6c° SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY— <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 0 Z Inspector: V1i{ CONSTRUCTION <br /> Facility A dress: (7 f�Odn,���r�l l r� +• <br /> Well Address: Total Depth: <br /> Wp# _00 Well#: <br /> �; �— Drilling Rig Type: <br /> Soil Boring#: �, . (� 2 6 '\ Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ;t X r loo- �(Gi'1 <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: f f,lcl�'`L_ <br /> Filter Pack From: To: <br /> Geologist: �`� t (,l utd' <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABC VE-GROUND <br /> Holding Temperature: COMPLETION cote+=CN <br /> Method: Ground Sumacs T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No = <br /> If yes, spoils storage Location: .baa <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1 <br /> Depth to Water: t vf?' ft ft' <br /> Grout Material: N2i4 t)M <br /> Gallons of Grout Used: - A MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruc ion Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation KBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> []Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ,Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Rallons Bags <br /> Thickest Thinnest xBags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix S% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 '? 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 204 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 s 40 80 s <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />