Laserfiche WebLink
rouiN�. <br /> 3'O 4 SAN JOAQUIN Environmental Health Department <br /> 3: 1 <br /> —COUNTY— <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: i 11 2\ Inspect r: '—'i' l��'-� CONSTRUCTION <br /> Facility Address:�b�� ✓TO`�� <br /> Well Address: Total Depth: <br /> WP# 0() q 5 Well#: Drilling Rig Type: <br /> Soil Boring#: ?"'A. Min 2" Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company: 441r-t <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: i c 4 Filter Pack From: To: <br /> Geologist: A Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes F1 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes 1:1 No casing <br /> If yes, location and distance: height <br /> SAMPLING A CVE-GROUND <br /> ZTy <br /> Holding Temperature: 0Or LETION CCfviHT1CN <br /> Method: Grund Six' <br /> Screening Method: alp <br /> Verified Chain of Custody: ❑ Yes L1 No —`-- n. <br /> ft. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: <br /> Covered: ❑ Yes ❑No = �� <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: iC,10- <br /> Depth to Water: <br /> Grout Material: N CA Q�66/\A MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: •.o - Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation 6413Slot Size: <br /> oring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> �1 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Basallons Bags <br /> Thickest Thinnest xeags Thickest Thinnest #Bags 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 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 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 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.coni <br />