Laserfiche WebLink
g2 SAN JOAQUIN <br /> (t COUNTY— <br /> Environmental Health Department <br /> \\C�."q Greatness grow, here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:I�Z oG Inspector: Vk, k'1 CONSTRUCTION <br /> Facility Address: 3G$ Vj G— V1I S <br /> Well Address: Total Depth: <br /> WP# 2(- Well#: Drilling Rig Type: <br /> Soil Boring#: �?ij l�,rl w�' Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Fw.. <br /> Screen Length From: To: <br /> Consultant:�Js�t,(t.,litu✓6y Filter Pack From: To: <br /> Geologist: Lr, cA/Pi„ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND CHRISTY_ <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: Ground SuHacs <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes El No �ft• <br /> ft. <br /> ft. <br /> SPOILS <br /> — o <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: .toted <br /> sac5on '— � <br /> Covered: ❑ Yes ❑No = I <br /> If yes, material: 'x <br /> GROUTING or DESTRUCTION Total Depth: U _ <br /> Depth to Water: ZG 0- n tt <br /> Grout Material:—&n eocAi GPwtE"4 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 24.S <br /> Casing Type: <br /> ❑Well Installation QWell 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 ` Jremie ❑Other: Type of Method: <br /> Water //Cement 471b Water Cement 94lb <br /> gall s Bags gallons Bags <br /> Thickest Thinnest uBags 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 /> 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 <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.socehd.com <br />