Laserfiche WebLink
A " > SANJOAQUIh <br /> f i Environmental Health Department <br /> r\ at � i —COUNTY— <br /> w Greatness grows here. J/ <br /> �q Mon`it,,o1ring Well/Soil Boring Inspection Report <br /> Date: 7 Amnspector: V�/ CONSTRUCTION <br /> Facility Address: O ,j-Ar ', �� Sv <br /> Well Address: ` • h acr a i2dtanr+ Total Depth: 13, <br /> WP# ' a� o t -eq Well :3 " 12 S,GprillingRigType: <br /> Soil Boring#: t ' a 1`k_s „ <br /> Drilling Company: tvt cc D `� P Min 2 Annular EHD Seal Verified: ❑Yes ❑No <br /> Driller Onsite: a Screen Length From: MA To: �JA <br /> Consultant: a,,. t' L Filter Pack From: To: ( /. 5' <br /> Bentonite From: To: <br /> Geologist: tl/I/ e/ K� L Gust <br /> Grout rom: / <br /> Public Water System Onsite: ❑Yes ❑No COMPLETIONSteve-P pe CJL r x <br /> Domestic Well Onsite: ❑Yes ❑No casing <br /> If yes, location and distance: W height <br /> SAMPLING ABovr=GROUND <br /> Holding Temperature: cow'LET�N corn LEnoN <br /> Method: t3soUnd s rfac.Screening Method: <br /> Method: grIout <br /> Verified Chain of Custody: ❑ Yes ❑No L�ff• <br /> ff. <br /> SPOILS — <br /> Contamination Noted: ❑ Yes ❑No �F ^ ," <br /> If yes,spoils storage Location: 4wtwe s:j-_ s <br /> •4cslon 3 <br /> Covered: ❑Yes ❑No <br /> Qmw pack <br /> If yes, material: ct <br /> GROUTING or DESTRUCTION Total Depth: Z 1 U—L—ft. <br /> Depth to Water. 2 3 r ff. <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> // �� +A9 Casing Type: <br /> — <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> 0ring 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 /> 'Gravity Oremie ❑Other: Type of Method: <br /> 5114 VAR <br /> Water Cement47lb Water Cement941b <br /> gallons Bog s allons Bags <br /> Thickest Thinnest xBags Thickest Thinnest OBags _Bentonite/Cement Mix 3% MIX 5%MIX_ <br /> 2.5 5 1 5 10 1 Bentonite pVr47Ib 1.41 2.47 <br /> 20 2 10 20 2 Bentonit per 94 lb 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 I T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />