Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> ---COU NTY---- <br /> ``cgcr �P� Greatness grows here:. <br /> Monitoring Well/Soil Boring Inspection Report z y <br /> Date: ZZ Inspector: AAS�r— CONSTRUCTION <br /> Facility Address: '=O ro%-( /V• r✓hibK 12 <br /> Well Address: Total Depth: <br /> WP#02Nj 6!7-/ Well#: Drilling Rig Type: <br /> Soil Boring#: Q9ft132 13 q „ <br /> Drilling Company: �)/lUbFt �w,r� Min 2 Annular EHD Seal Verified: El Yes El No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: ItL uI� Filter Pack From: To: <br /> Geologist: OVat t' VBentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: 17 <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLETION COMPL>=ON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> SPOILS ft. <br /> ft. <br /> SPOILS <br /> 0 <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: dotted <br /> sacdon — B <br /> Covered: ❑ Yes ❑No71= �ate* <br /> If yes, material: ' <br /> GROUTING or DESTRUCTION Total Depth: Z.D i t1S -_ <br /> Depth to Water: �/�/� tt• tt. <br /> Grout Material: 1V ee" <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> � �/ Filter Pack Type/Size: <br /> [3/Gravity 5� remie� ❑Other: Type of Method: <br /> S <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas Bags <br /> Thickest Thinnest ttBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 <br /> ' D 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />