Laserfiche WebLink
SAN JOAQUIN <br />COUNTY- <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 11—t7 • Za21 Inspector: Afs t.. <br />Facility Address: ?3212 ,+ L,eFN('P"- <br />Well Address: <br />WP# CaV V 'E7<« Well#: <br />Soil Boring#: <br />Drilling Company: ad— to -- <br />Driller Onsite: <br />Consultant: ter--ge-got . <br />Geologist: Cr,Y <br />Public Water System Onsite: <br />Domestic Well Onsite <br />If yes, location and distance: <br />N.W7i]11111l\te <br />Holding Temperature: <br />Method: <br />Screening Method: <br />rr1NCZTPI IrT1n1U <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />❑ Yes El No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No (3, S <br />If yes, spoils storage Location: Z; t{, Li <br />Covered: ❑ Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: ZD <br />Depth to Water: t3o c� <br />Grout Material: r1Q4�-eew"' <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />[]Christie Box <br />casing <br />height <br />_ W7T <br />ASCVE-GROUND CHRISTY-BOX <br />COWPLETION COMPLEnoN <br />Ground Surfan <br />grout <br />ft. <br />ft. <br />ft. <br />S 1 slotted <br />soon — <br />gnwl Pack <br />5, _ <br />tt. =IFft. <br />Gallons of Grout Used: MATERIALS/DEVELOPMENT <br />Casing Type: <br />❑Well Installation []Well Destruction Blank Feet <br />lot Size: <br />❑Boring Installation dBoring Destructionr Bags of Cement: <br />METHOD USED zf ASoG7�-Fl�'�kt Bags Sand/Gravel: <br />g Type/Brand of Bentonite: _ <br />[]Pressure Grout ❑Over Drill Filter Pack Type/Size: <br />d Gravity ❑Tremie ❑Other: Type of Method: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />4 Bags <br />Thickest Thinnest <br />4 Bags <br />2.5 <br />5 <br />5 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 30 <br />3 <br />10 <br />20 <br />4 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />35 <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />i s b` -j)(3 <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 />J 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />