Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY---- <br /> MoQn��1it,o,,rr�in"""g Well/Soil Boring Inspection Report <br /> Date: 9131 Lit Inspector: CONSTRUCTION <br /> Facility Address:7,000 Sil-c&m;en ll <br /> Well Address: Total Depth: G „ <br /> wP# iiOw163 Well#: Wtw-It Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: Yes ❑No <br /> Drilling Company: Pe'lea-we ID✓YU1H4 , 1 <br /> Driller Onsite: for-9 a Screen Length From: Lib To:- <br /> Consultant: P a✓So -S ppFilter Pack From:_5 G To: 3� <br /> Geologist: A lICA14 Bentonite From: 4` To: '51 <br /> Grout From: To: 0 ' <br /> }C, 34 <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ S ove Pipe 'Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO -r casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> CO&FLETION CCMPLEnON <br /> Holding Temperature: con4PlEnoN <br /> Method: oround Svlascs T <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑Yes ❑No --h' <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes []No <br /> If yes,spoils storage Location: ` <br /> abttad a = 8 <br /> a�c#on �1 <br /> Covered: ❑ Yes ONO <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: ✓1 femme%^ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: lnua S L4 30-1 <br /> Casing Type: 0 V C <br /> .Well Installation ❑Well Destruction Blank 11' _Feet Screen IG ' Feet <br /> Slot Size: U tG <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: Zb uu S <br /> METHOD USED Bags Sand/Gravel: !� bQ4S -3*610 + kba b g-s+f.'ch <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Dover Drill 1 duo C�co u,rp3 <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement MIX 3% MIX 5% MIX { <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite er 94 lb 1 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 `,11 1 <br /> 12.5 25 5 25 50 5 iC.tIVrN /'l.�@ �rVlMn >r•G pl VaVt�- wlkkClw/ <br /> 15 30 60 6 tUJ (/ <br /> 17.5 3 35 70 7 vVg e. PN�G id-1 Supptlat 6j <br /> 20 40 3 40 30 B 5 eOtctl 3sl, /h o A tlµ✓1. <br /> J tl// 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 />