Laserfiche WebLink
„. SANdOAQUIN <br /> Environmental Health Department <br /> s`Gc�F�psp`• Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 11- -2400-? Inspector: A'' CONSTRUCTION <br /> Facility Address: B?0 4 .9i+2 SC"tw <br /> Well Address: Total Depth: <br /> WP#wO/907 Well#: "r — 12j3jy Drilling Rig Type: <br /> Soil Boring#: d' r <br /> Drilling Company:� PN1PC0iG Min 2 Annular EHD Seal Verified: El Yes ❑No <br /> Driller O Screen Length From: To: <br /> Consultant: 4ieOSNa2 eC Filter Pack From: To: <br /> Geologist: 2",k Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br /> If yes, location and distance: � height <br /> SAMPLING ABOVE-GROUND CHAISTY-BOX <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: Oround Su1ac. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO ft. <br /> ft. <br /> SPOILS —_ <br /> Contamination Noted: ❑ Yes El ;” <br /> If yes,spoils storage Location: .lonoa <br /> sacdon <br /> Covered: El Yes El No — waivnA pacic <br /> If yes, material: ` , <br /> GROUTING or DESTRUCTION Total Depth:g Lf�?�(3;0% Po <br /> Depth to Water: tt• R. <br /> Grout Materiak Alit CPmltt ,,S MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 'tt to y9 v4! <br /> - Casing Type: <br /> ❑Well Installation MWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction 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 kTremie J,Other: r �US/t42 Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallans Baits <br /> Thickest Thinnest 4Bags Thickest Thinnest "Bags BentenitelCementMIX 3% Mix 5%MIX <br /> as s 1 s 10 1 Bentonite per47lb 1 1.411 2.41, <br /> 5 10 2 10 20 2 Bentonite per 941b 1 2.821 4.7 <br /> Zs 15 3 15 30 3 <br /> to 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> is 3D 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 1 40 so 9 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />