Laserfiche WebLink
SAN 1UA[�UIN <br />"' ?�';-� COUNTY <br />`,:1;;_y�R-�;'� Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 7�Z- 2y Inspector: ��!'�'"' <br />Facility Address: IUZO LY IYI�� �- �w�� <br />Well Address: <br />WP#L'e'i ��� Sal �/ Well#: <br />Soil Boring#: j3� <br />Drilling Company: �`�Lt <br />Driller Onsite: <br />Consultant <br />Geologist: <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 <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑Yes ❑ No <br />❑ Yes ❑ No <br />If yes, material: <br />r <br />GROUTING or DESTRUCTION Total Depth: � j� <br />Depth to Water: Z <br />Grout Material: /Vk� ��� <br />Gallons of Grout Used: � 5�1`�M s <br />❑Well Installation __❑/Well Destruction <br />❑Boring Installation L�Boring Destruction <br />METHOD USED <br />❑Pressure Grouter�❑Over Drill <br />�Gra�ity L�JTremie ❑Other: <br />L(p �� <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION <br />❑No <br />❑ Stove Pipe ❑Christie Box <br />��/� <br />:. -. <br />�- :. <br />.. - <br />� f <br />C <br />.. <br />//. <br />`V <br />ft. <br />Cement 471b <br />Bas <br />S°fo Mix <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />xBags <br />2.82 <br />Thickest <br />Thinnest <br />�eags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />__ <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />Y" <br />20 <br />4 <br />�=- <br />40 <br />4 <br />1Z.5 <br />25 <br />5 <br />25 <br />50 <br />.� <br />15 <br />30 <br />>� <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />? <br />40 <br />80 <br />8 <br />20 <br />40 <br />8 <br />slotwd <br />�':� <br />aac�on <br />=�� <br />— <br />n::� <br />��' <br />-= <br />a: <br />W <br />= <br />tt. <br />Water <br />allons <br />Cement 471b <br />Bas <br />S°fo Mix <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />xBags <br />2.82 <br />Thickest <br />Thinnest <br />�eags <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 />1Z.5 <br />25 <br />5 <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 />? <br />40 <br />80 <br />8 <br />20 <br />40 <br />8 <br />MATERIALS/DEVELOPMENT <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 />m <br />m <br />r <br />C <br />0 <br />c <br />... � : _ _. <br />Screen <br />tt. <br />Feet <br />Bentonite�Cement Mix <br />3°�o Mix <br />S°fo Mix <br />E3entonite per 4? Ib <br />1.4 � <br />2.�7 <br />Eient�nite <br />per 94 Ib <br />2.82 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I wwwajcehd.com <br />