WORK PLANS - Laserfiche WebLink

Home Browse Search

SAN`JOAQUIN Environmental Health Department COUNTY n Monitoring Well/Soil Boring Inspection Report Date:"1 y ZCJ Inspector: S— -GlAwnlV (4 CONSTRUCTION Facility Address: 1 SIB (y. ffimny , � e ; n Well Address: Total Depth: WP# 2-G-NCA��-4- Well#: S_1. Drilling Rig Type: Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No Drilling Company: 60 V-ffl 12MC 6 Driller Onsite: jaIm Screen Length From: To: Consultant: )A-IOki Filter Pack From: To: Geologist: Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: WT height SAMPLING ABOVE-GROUND Holding Temperature: COWLErION COWPLETION Method: Ground Suriacs Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No �n. ft. tt. SPOILS =_ N. O Contamination Noted: ❑ Yes ❑No If yes, spoils storage Location: slatted s�c.on — B Covered: ❑ Yes ❑No If yes, material: % GROUTING or DESTRUCTION Total Depth:�� Depth to Water: — n• Grout Material: MATERIALS/DEVELOPMENT Gallons of Grout Used: 5 UU,llo m- Casing Type: ❑Well Installation Well Destruction Blank Feet Screen Feet ❑Boring Installation ❑Boring Destruction Slot Size: Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout lover Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity ).Tremie ❑Other: Type of Method: Water Cement 471b Water Cement 941b allons Bags pallons Bags Thickest Thinnest uBags Thickest Thinnest uBags Bentonite/Cement Mix 3% MIX 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com