Laserfiche WebLink
SAN J U All U I N Environmental Health Department <br /> — COUNTY— <br /> o�c, Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 7-1y-2_z- Inspector: ^"�"^ CONSTRUCTION <br /> Facility Address: 173sb r3c� kV Iq <br /> Well Address: Total Depth: <br /> WP# CSD (13y Well#: Drilling Rig Type: <br /> Soil Boring#: b -o <br /> �a� la/� A' Min 2" Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: � Y Screen Length From: To: <br /> Driller Onsite: i C- '-� <br /> Consultant: r'b D, Ell, <br /> Filter Pack From: To: <br /> Geologist: 1J 10-.jo Bentonite 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: height <br /> —CWT <br /> SAMPLING Above-GROMD <br /> Holding Temperature: COWLEMN CC#APt_EnoN <br /> Method: oround&xfacs <br /> Screening Method: <br /> Verified Chain of Custody: ElYes ❑No —n' <br /> ft. <br /> —ft. <br /> SPOILS = <br /> O <br /> Contamination Noted: ❑ Yes []No <br /> If yes, spoils storage Location: .totted <br /> an — B <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: : <br /> Depth to Water: $ n• — tt. <br /> Grout Material: /►ova «'i►'✓ <br /> Gallons of Grout Used.r 73�����`�' MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑/Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation L"JBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity NTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas gall ons Ba s <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags 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 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />