FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

� °° °°e SAN JOAQUIN tw �� —COUNTY Environmental Health Department Greatness grows here Monitoring Well/Soil Boring Inspection Report Date a2 2 Inspector: / C'- 14. CONSTRUCTION Facility Address: .oZ S Well Address: If ve Total Depth: WP# (7 D9 02 Well#:jS -06_2 S Drilling Rig Type: Soil Boring#: Drilling Company: /r L Min 2" Annular EHD Seal Verified: ❑ Yes ❑No Screen Length From: To: Driller Onsite: 01 Consultant: i p ec Filter Pack From: To: Geologist: V&Lr�' YL4�'r• Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: ITTLT height R M_ —ZWT SAMPLING ,ABOVE-GROUND Holding Temperature: COMPLETION COMP=1 CN Method: Ground Sumacs 'T- Screening Method: ofO1t Verified Chain of Custody: ❑ Yes ❑No �ft. tt. ft. SPOILS _ Contamination Noted: ❑ Yes ❑No If yes, spoils storage Location: .ionad a'cn Covered: ❑ Yes ❑No - gra,el;acic If yes, material: GROUTING or DESTRUCTION Total Depth: S _ Depth to Water: rJVLQ� n tt' Grout Material: Gallons of Grout Used: ^. ISO MATERIALS/DEVELOPMENT Casing Type: ❑Well Installation YNell Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation ❑Boring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: El Pressure Grout` Over Drill AA Filter Pack Type/Size: El Gravity ITr mZ iEf ❑Other: Type of Method: Water Ceme 471b Water Cement 941b gallons Bag gallons Bags Thickest Thinnest "Bags Thickest Thinnest «Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 2U 40 8 40 80 8 �O 01 _� 10/16/2017 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.sicehd.com