Laserfiche WebLink
°°��"" <br /> '1 —COUNTY- <br /> SAN JOAQUIN <br /> �2, <br /> rr Environmental Health Department <br /> 1� f <br /> �c�4iRoa?�' Greatness grows her. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:9 1 Inspector: � � � CONSTRUCTION <br /> Facility ddress:;;2-02 <br /> Well Address: ,5. hu.rG 5 • ' Total Depth: <br /> WP#fi g 9 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: <br /> � , Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> g p y:, r G GLPr)� l/ C� <br /> Driller Onsite: '� Screen Length From: To: <br /> Consultant: 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 El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND ___ <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: G=r'd Surfacs ' + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —` n' <br /> ft. <br /> SPOILS = <br /> — a <br /> Contamination Noted: ❑ Yes ❑No = r <br /> If yes, spoils storage Location: 2A (Al Oo-V <br /> abttQO _ � <br /> sacdcn _ � <br /> Covered: Cz - f <br /> ❑NJ1J A^^ � <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:5"fr <br /> Depth to Water:_ <br /> Grout Material: <br /> Gallons of Grout Used: a`{b qv-1 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation Iv <br /> ell Destruction Blank Feet Screen Feet <br /> (( Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure GroutOver Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity �11remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> gall Bags gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest pBags Bentonite/Cement Mix 3% Mix 55% Mix <br /> 15 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 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 /> ti So 9 13 ball S 10/16/2017 <br /> I,,o q f4 -3 " S <br /> 1868 E. H zelton Avenue I Stookion, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />