Laserfiche WebLink
puttySAW-dOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: L/-74-7( Inspector: AidCE'v- CONSTRUCTION <br /> Facility Address: <br /> Well Address: I/S Ale 4cr4w40"- /jam Total Depth: <br /> W P# 00 5// f72 Well#: S V' -0Z Drilling Rig Type: <br /> Soil Boring#: <br /> �-,,-4-.* Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: C!�t3,Y /' <br /> Driller Onsite: Screen Length From: To: <br /> Eef Marl#: /0r• OG- S,.cheUe Fs�e Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> —Ef W7T <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: COWLS ION CC APLFON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft• <br /> ft. <br /> tt. _ <br /> SPOILS - <br /> Contamination Noted: ❑ Yes ❑No <br /> C <br /> If yes, spoils storage Location: slotted ' =_ - B <br /> an — <br /> Covered: ❑ Yes ❑No _ = grave+P-X* <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 3� n- tt' <br /> Grout Material: Gee <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> []Well Installation VWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring 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 /> ❑ Gravity ZTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> a gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest bBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.s 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 <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 /> •� 110 ..7,90 40 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />