Laserfiche WebLink
,. F,,CULti' <br /> SAN J OAQ U I N Environmer. _J Health Department <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:.3'47-?6y Inspector: let�� CONSTRUCTION <br /> Facility Address:—%Q elKet3/.- <br /> Well Address: Total Depth: <br /> W P#ezn V/"s/ Well#: Drilling Rig Type: <br /> Soil Boring#: 6�b Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: AopleedK <br /> Driller Onsite: .-]'tl4K Ak..e2 Screen Length From: To: <br /> Consultant: G�dSK Filter Pack From: To: <br /> Geologist: �(I/Nr;yr Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes []No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: COWPLET10N COMP�LEMN <br /> Method: GroundS`''rf"' <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No Os __ <br /> If yes, spoils storage Location: 71;A-�9l stottnd -= <br /> .on = 3 <br /> Covered: ❑ Yes ❑No <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: YIF <br /> - <br /> Depth to Water: L n' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation EAoring 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 /> VGravity ❑Tremie ❑Other: Type of Method: <br /> ater ent 47 water Cement 941b <br /> allowl gallons Bags <br /> Thickest Thinnest pBags Thickest Thinnest ABags 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 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 D <br /> 12.5 25 5 25 50 5 �gv P j tKN,n` �a y ,� r�N IICA'�,h�/�� `• �SS cCu[ <br /> 15 30 6 30 60 6 A <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> Z� Pi•�� 'lblrs wt� �t �r 4� ettQ 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 />