Laserfiche WebLink
f=°�P SAN JOAQUIN <br />COU N T Y- <br />`?��;' Greatness grows here <br />C1'•2S i I I ,16 <br />Environmental Health Department sok5"A <br />Monitoring Well/Soil Boring Inspection Report <br />Date: I Inspector: CONSTRUCTION <br />Facility Address: G Wft13) <br />Well Address: t Total Depth: <br />WP# Well#: Drilling Rig Type: <br />Soil Boring#: <br />Drilling Company: Min 2" Annular EHD Seal Verified: <br />❑ Yes 11 No <br />Driller Onsite: <br />Screen Length <br />From: <br />To: <br />Consultant.- <br />Filter Pack <br />From: <br />To: <br />Geologist: <br />Bentonite <br />From: <br />To: <br />5 10 <br />Grout <br />From: <br />To: <br />Public Water System Onsite: <br />❑ Yes El No COMPLETION <br />❑ Stove Pipe <br />❑Christie Box <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />CAIVIDI INr, <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water:—('\L' <br />Grout Material: isl 1 <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation Boring Destruction <br />MFTHrin I Krn <br />❑Pressure Grout ❑Over Drill <br />JK,Gravity ❑Tremie El Other: <br />Water <br />gall s <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />kBags <br />Thickest Thinnest <br />"Bags <br />2.5 <br />5 <br />1 <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 />casing <br />Wiheight <br />g T <br />ABOVE -GROUND CHRiSTY-BOX <br />COMPLETION COMPLETION <br />around Sur4acs <br />grout <br />n. <br />ft. <br />ft. <br />stoned <br />sac�Son <br />9-91 Pack <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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />