WP0042810 - Laserfiche WebLink

Home Browse Search

SA N J OAQ U I N Environmental Health Department —COUNTY— Greatness COUNTY—Greatness crows here. Monitoring Well/Soil Boring Inspection Report Date: Z-V Inspector: µ CONSTRUCTION Premis A dr ss: b S WP#: j/ Total Depth: Well#: �- 2. d Drilling Rig Type: Soil Boring#: 1/ Min 2"Annular Seal Verified: El Yes El No Drilling Company: 629tZa Dp414jn,% 1t(•L Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To: Geologist: Bentonite From: To: / Grout From: To: Public Water System Onsite: ❑ Yes No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes XNo casing If yes, location and distance: height SAMPLING Agpvg-GRCUND _ Holding Temperature: ��'t-`T�N ��iE'nON Method: G=ndsartace T Screening Method: grow Verified Chain of Custody: ❑ Yes ❑No �tt' fi. SPOILS '— Contamination Noted: ❑ Yes []No " If yes, spoils storage Location: stoned sacSon — Covered: ❑ Yes ❑No If yes, material: / 1- GROUTING or DESTRUCTION Total Depth: =�• __ Depth to Water: n- n- Grout Material: MATERIALS/DEVELOPMENT Gallons of Grout Used: Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation oring Destruction I Bags of Cement: W METHOD USED ? /g)3 Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity ❑Tremie ❑Other: Type of Method: Water Cement 47 lb Water Cement 941b allons BaRs Rallons Bags Thickest Thinnest #Bags Thickest Thinnest 4Bags 2.5 s 1 5 10 1 Bentonite/Cement Mix 3% Mix 3% Mix 10 z 10 20 z 7..5 15 3 15 30 3 Bentonite per 47 Ib 1.41 2.47 - - 10 20 4 20 40 4 Bentonite per 94 Ib 2.82 4.7 12.5 1 25 1 5 1, 25 1 50 5 i5 1 30 1 6 30 60 6 17.5 1 35 1 71 135 70 7 20 1 40 1 f8l40 80 8 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com