Laserfiche WebLink
SANJOAQUIN Environmental Health Department <br /> --- COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: � 10 I BIB Inspector: s."(►'1AITYY1G1V[) CONSTRUCTION <br /> Facility Address: I M Inj tALS G1 I 00y( , gbh <br /> Well Address: Total Depth:2q <br /> WP# 2l001)1 ?)\ Well#: Drilling Rig Type: do low stem A1>! w <br /> Soil Boring#: <br /> Soil <br /> Company: Min 2"Annular EHD Seal Verified: �t'es ❑No <br /> Drilling P y: Cu�ILAW(,� To: qI <br /> Driller Onsite: jOI IVne, �,ylt Screen Length From:_ <br /> Filter Pack From: To: <br /> Consultant: � V1G, I i <br /> Geologist: KaV=estn 1AaKC'i Bentonite From: To:� <br /> Grout From: To: i <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 ABOVE-GROUND <br /> Holding Temperature: COMSPLETION ccoota LEncN <br /> Method: Ground Sudacs r <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No = <br /> If yes, spoils storage Location: <br /> wc:cn <br /> Covered: ❑ Yes ❑No = � <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �Q2UUt <br /> Depth to Water: <br /> Grout Material: wxr C"-y MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: qI_ a�Ilnh.s Casing Type: <br /> ' Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> 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 �remie <br /> ❑Other: Type of Method: <br /> Water Cement 471b water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest NBags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> s 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 <br /> 15 30 6 30 60 6 <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.slcehd.com <br />