Laserfiche WebLink
1`1 SAN 10AQUIN Environmental Health Department <br /> COUNTY <br /> cam' <br /> �cFoa�: Greatness grows he,% <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 11312%25 Inspector: cS.1-hGiYYl"Vw10S/ CONSTRUCTION <br /> Facility Address: V0101 N, �3 Vitt( �W6fX _ �J"'� <br /> Well Address: Total Depth: <br /> WP# 35W51 Well#: M"'3 Drilling Rig Type: <br /> Soil Boring#: <br /> �Q Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: CD (( <br /> Screen Length From: To: <br /> Driller Onsite: loutne <br /> Filter Pack From: To: <br /> Consultant: AtArxf <br /> Geologist: �pinh S, 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: JffT height <br /> R ff__ _qwT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWFLETION C�t.EnON <br /> Method: Ground Sumacs <br /> Screening Method: I RZ, <br /> act <br /> Verified Chain of Custody: ❑ Yes El No —ft. <br /> ft. <br /> ft. <br /> SPOILS = <br /> a <br /> Contamination Noted: ❑ Yes El No — <br /> If yes,spoils storage Location: slotted <br /> sacton <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: NOT -VaAA (, <br /> Grout Material: NeRk CdnWV MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: D'a 04,it0 <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity �remie <br /> ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest aBags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 3% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite 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 r <br /> 15 30 6 30 60 6 �rl wed 110 <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 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />