Laserfiche WebLink
SAN JOAQUIN <br />—COUNTY— Environmental Health Department, <br />_ ) <br />` Greofness yro ,5 hrrc. N <br />Monitoring Well Soil Boring Inspection Report 5 o 1 <br />Date: 2 i Inspector: CONSTRUCTION <br />Facility Address: . ��-;L�4,C. LI <br />Well Add s1s: Total Depth: ��� <br />WP# �i U Welltt: Drilling Rig Type: <br />Soil Boring#: <br />Drilling Company: 'l�vlin 2" Annular EHD Seal Verified: F1 Yes ❑No <br />��' � <br />Driller Onsite: Screen Length From: To: r <br />Consultant: > ! Filter Pack From: To: <br />Geologist: Bentonite From: To:G I p <br />Grout From: To: l / <br />Public Water System Onsite <br />Domestic Well Onsite <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND GJiFi STY BOX <br />COtr�LETION COMPLETION <br />Gr cued surla" <br />gro n <br />tt. fl. <br />_ o <br />Slotted <br />s*c;cn <br />Geral pacx <br />GROUTING or DESTRUCTION Total Depth: ZOVICI <br />Depth to Water:_ A ,, "Aj f C k- tt. <br />Grout Material: ,t.YL1-v\ <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ^oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />Gravity ❑Tremie El Other: <br />Water <br />allons <br />cement 471b <br />Bas <br />Water <br />qa1111 ons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />9Bags <br />Thickest Thinnest <br />sBags <br />2.5 5 <br />1 <br />s 10 <br />1 <br />5 10 <br />2 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />1 35 1 70 <br />7 <br />20 40 <br />8 <br />40 1 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 />5-0 <br />0 10/16/2017 <br />1868 E. Hlelton Avenue I Stoc�ton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />