Laserfiche WebLink
° SAN JOAQUIN Environmental Health Department <br />----COUNTY----- <br />i <br />Greatness grows here. <br />U1 Monitoring Well/Soil Boring Inspection Report <br />Date. ` 22 Z1 Inspector: S(At nG's CONSTRUCTION <br />Facility Address:��j <br />Well Address: <br />WP#bq?,G\4 Well#: <br />Soil Boring#: L <br />Drilling Company: \4.M -7L( to <br />Driller Onsite: <br />Consultant: YU7GlI-) <br />Geologist: <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />cpnn c <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: „ -,�r- <br />GROUTING or DESTRUCTION Total Depth:\ <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: a\-'. <br />[]Well Installation ❑Well Destruction <br />❑Boring Installation D49oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill J <br />❑ Gravity J?LTremie ❑Other: <br />casing <br />17 height <br />ABOVE -GROUND CFWt5rY4 3OX <br />COMPLETION COMPLETION <br />Ground su+rt <br />grout <br />n. <br />tt. <br />_ a <br />Blotted = 3 <br />fly/ section _ g-Vw P -:k <br />N <br />n, h. <br />Water <br />Stallons <br />a ent 471b <br />Ba <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />4Ba s <br />Thickest Thinnest <br />9Bags <br />2.5 5 <br />AZ <br />5 10 <br />1 <br />5 10 <br />10 20 <br />2 <br />7.5 15 <br />15 30 <br />3 <br />10 20 <br />20 40 <br />4 <br />12.5 25 <br />25 50 <br />5 <br />15 30 <br />30 60 <br />6 <br />17.5 35 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 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 />Screen Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />