Laserfiche WebLink
SAN JOAQUIN Environmental Health Department z <br />COUNTY <br />(ecr,ss . <br />grout <br />_ft. <br />slotuad <br />aaclo n <br />grave.' pack <br /> ft. ft. <br />casing <br />height <br />CHRISTY-40X <br />COMPLETION <br />Ground Striae* f <br />Monitoring Well/Soil Boring Inspection Report <br />(•/‘,15 <br />\AIP# Colr5V1 <br />Soil Boring#: <br />Drilling Company: VeS v./ Oryth <br />Driller Onsite: <br />Consultant: (5-r-„ <br />Geologist: <br />Public Water System Onsite: 0 Yes El No <br />Domestic Well Onsite: 0 Yes III N o <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0 No <br />SPOILS <br />Contamination Noted: El Yes El No <br />If yes, spoils storage Location: <br />Covered: 0 Yes El N o <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 244t <br />Depth to Water: ('t4%.. <br />Grout Material: <br />Gallons of of Grout Used:"-, ‘.7) <br />0Well Installation ET/ell Destruction <br />El Boring Installation LI Boring Destruction <br />METHOD USED <br />0 Pressure Grout lEtver Drill <br />0 Gravity <br /> a'(emie 00ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <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 />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 0 Stove Pipe 0Christie Box <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />Date: v) Inspector: <br />Facility Address:( ZA•16.- <br />Well Address: <br />Well#: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />10/16/2017 o <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com