Laserfiche WebLink
SANJUMIN <br /> Environmental Health Department <br /> —COUNTY— <br /> :�;� ?` Greotness grows here. <br /> i ( Monitoring Well/Soil Boring Inspection Report <br /> Date: `t�" ``,i�vu f 'ector: CONSTRUCTION <br /> Facility Address: SWJ0 <br /> Well Address: "���t Total Depth: <br /> WP# 1 0 C--)R \b Well#: Drilling Rig Type: <br /> Soil Boring#\ \'�)\ Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: WQ— <br /> Driller Onsite: �1_�'�� Screen Length From: To: <br /> Consultant: ���,�, _S`-fiyl E� Filter Pack From: To: <br /> Geologist: a)Ps N 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 /> SAMPLING AsovE-GatwNe . <br /> Holding Temperature: COMfPLEMN co rLEricN <br /> Method: GroundSwfacs —+---- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No t n• <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: atoned <br /> sK.on M: = <br /> Covered: ❑ Yes ❑No = v <br /> ack <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: 3O\ 4. <br /> Depth to Water:��_� n• tt- <br /> Grout Material: }J-6rX <br /> Gallons of Grout Used: `^'A MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Over Drill Type/Brand of Bentonite: <br /> 1 Filter Pack Type/Size: <br /> 111 Gravity LJTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Bas RaI1111 ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentanite/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 5 5 25 50 5 <br /> 15 3 6 30 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 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 />