Laserfiche WebLink
SANJOAQUIV <br /> x' r. <br /> —COUNTY— <br /> Enveronmei 1 Health Department <br /> Greatness <br /> grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I -7 Inspector: P4 kid.. CONSTRUCTION <br /> Facility Ad cess: <br /> Well Address: Sri... Total Depth: <br /> WP# 4 A(507"7 4 Well#: Drilling Rig Type: <br /> Soil Boring#: _ _T _Cf <br /> Drilling Company: Min 2"Annular EHD Seal Verified: E] Yes []No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: A FIA Filter Pack From: To: <br /> Geologist: 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 <br /> ABOVE-GROUND t�AISlY 80X <br /> CHRMY- <br /> Holding Temperature: com'�TC <br /> 1ON jON <br /> Method: Gr mndsLw+x,. + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> fi. <br /> SPOILS ft" - — <br /> Contamination Noted: ❑ Yes ❑No <br /> m <br /> If yes,spoils storage Location: �lon�d <br /> aac on = — <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ A <br /> Depth to Water: 4 4 ft. JF — ft- <br /> GroutMaterial: Q.,....e, <br /> d: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Use <br /> ���—� ..J_ Casing Type: <br /> ❑Well Installation ❑Well.Destruction Blank Feet Screen Feet <br /> ❑Boring Installation oSlot Size:ring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravityremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix3°/p Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> .5 30 3 <br /> 7. 10 z 10 zo 2 Bentonite per 94 Ib 2.82 4.7 <br /> 15 3 15 <br /> 10 20 4 1 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 /> / -7 4 10/16/2017 <br /> 1868 E. Hazelton Av nue Stockton,Ca ifornia 95205 ( T 209 468-3420 1 E' 209 464-0138 I, www.s*cehd.com <br />