Laserfiche WebLink
SAN ) OA Q U I N Environmental Health Department <br />—COUNTY <br />Greatness <br />COUNTYGreatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date:2, <br />Inspector: V�J G / CONSTRUCTION <br />7 <br />FaalltyAddress: 2J 6U1 CrfeZC4iI13`fig� <br />l <br />Well Address: <br />Total Depth: <br />WP# 3 <br />Well#: Drilling Rig Type: <br />Soil Boring#:1,4 <br />Drilling Company: <br />In 2" Annular EHD Seal Verified <br />C70 (')�,���� `�—YtelSt� ! �'"' <br />Driller Onsite: <br />) Screen Length From: <br />Consultant: <br />Filter Pack From: <br />Geologist: <br />Bentonite From: <br />2 <br />Grout From: <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 />❑ Yes ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND <br />COWLEErloly ct�lsTr-aox <br />co%MPi_mc;a <br />Ground Suixs <br />groat <br />fl. <br />tt. <br />— a <br />O <br />aYatFsd _ — e <br />asc on a <br />ti a pacx <br />If yes, material: <br />GROUTING or DESTRUCTION 1Total Depth:_ <br />Depth to Water: `\ <br />Grout Material: <br />Gallons of Grout Used: MATERIALS/DEVELOPMENT <br />Casing Type: <br />❑Well Installation /ell Destruction Blank Feet <br />❑Boring Installation ❑Boring 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 />ravity ❑Tremie�ther: Sire Type of Method: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />3t Bags <br />Thickest Thinnest <br />« Bags <br />2.5 5 <br />1 <br />5 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 />q <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 />35 70 <br />7 <br />20 40 <br />8 <br />40 90 <br />8 <br />f. <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 I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />