Laserfiche WebLink
SAN JOAQUIN <br />----.COUNTY-- <br />Environmental Health Department <br />Public Water System Onsite <br />Domestic Well Onsite <br />If yes, location and distance: <br />C2VA�LVil>11111I\rel <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 />❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: S� <br />Depth to Water: <br />Grout Material: /1�eo�•+�Ce�en-� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 52fremie ❑Other: <br />Water <br />allons <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 2 <br />Inspector:4_5 ���'? 91 <br />CONSTRUCTION <br />Facility Address: <br />OWi11• /S/ —Zai — g(0 <br />#Bags <br />Well Address: <br />#Bags <br />Total Depth: <br />WP# oc <br />Well#: A� 2— <br />Drilling Rig Type: <br />Soil Boring#: <br />Z <br />Min 2" Annular EHD Seal Verified: El Yes ❑No <br />10 <br />Drilling Company: <br />10 <br />20 <br />Driller Onsite: <br />7.5 <br />Screen Length From: To: <br />Consultant: Pa%7 G c/2/ <br />Filter Pack From: To: <br />Geologist: <br />Bentonite From: To: <br />10 <br />20 <br />Grout From: To: <br />Public Water System Onsite <br />Domestic Well Onsite <br />If yes, location and distance: <br />C2VA�LVil>11111I\rel <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 />❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: S� <br />Depth to Water: <br />Grout Material: /1�eo�•+�Ce�en-� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 52fremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12,5 <br />25 <br />fSP'7' <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />MATERIALS/DEVELOPM ENT <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.socehd.com <br />