Laserfiche WebLink
°amu'"- SAN JOAQUIN <br /> �.1 ` �� _ Environmental Health Department <br /> y. <br /> COUNTY— <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 21 Inspector- �'k- G.Ajrvt,�ONSTRUCTION <br /> .(.) "� t.� <br /> Facility Address. -�(,-._ � <br /> Well Address: Total Depth: <br /> WP# 0 1 (. Well#: Drilling Rig Type: <br /> Soil Boring#: , Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: U �� ay;"-'f �.X�uCtf l cf, Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: - Filter Pack From: To: <br /> Geologist: t, ('I/ 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 El No casing <br /> If yes, location and distance: height <br /> TaT- -WW' <br /> SAMPLING AsovE-cacuND <br /> Holding Temperature: COMPLEMN coM=cN <br /> Method: Ckmind Sarfacs <br /> Screening Method: er«n <br /> Verified Chain of Custody: ❑ Yes 11 No —ft' <br /> ft. <br /> tt. <br /> SPOILS w; <br /> Contamination Noted: ❑ Yes El No <br /> 'cn <br /> If yes, spoils storage Location: abed <br /> aec <br /> Covered: El Yes ❑No <br /> If yes, material: ' <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: ')'C'k-Aff n n' <br /> Grout Material: CI`1^r <br /> Gallons of Grout Used: } — rv; MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation mooring Destruction <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 /> 0 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas 9allons Bags <br /> Thickest Thinnest 1t Bags Thickest Thinnest 4Bags Bentonite/Gement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 5 25 50 5 <br /> 15 30 b 30 60 6 <br /> 175 35 7 35 70 7 <br /> 20 40 8 40 80 s <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.coni <br />