Laserfiche WebLink
�► ^'c. <br /> SAN-JOAOUIN Environmental Health Department <br /> --COUNTY— <br /> �qc,ao— Greatness grows here. <br /> "eAts 6 bps <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 5I`2 Z�2 Inspector: S-TVIOM'VVV04d CONSTRUCTION <br /> Facility Address: N. <br /> Well Address: Total Depth: wt '-z) D/ t <br /> WP# AA 16L4 k Well#: Drilling Rig Type: <br /> Soil Boring#: VW—Ip1,ko <br /> Drilling Company: �W Min 2"Annular EHD Seal Verified: El Yes ❑No I <br /> Driller Onsite: ��=�� Screen Length From: To: <br /> Consultant:��[�(j�Qlej Filter Pack From: To: <br /> Bentonite From: To: <br /> Geologist: ftm W)A t <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: WT <br /> height 1 <br /> GS- 3, Cj0 <br /> SAMPLING ABOVE-GROUND _QWT Vw"�, 3� <br /> i <br /> CHRISHolding Temperature: COWFLfiT►ON COM EnoN PP <br /> Method: Ground Surf"* <br /> + L___j <br /> Screening Method: grout atl Al <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> SPOILS ft - .. & <br /> Contamination Noted: El Yes El No <br /> _ t (� <br /> If yes, spoils storage Location: sbnad _ Uury Atz <br /> sacton <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:.' '6 t\L0YG ki 5i�� - <br /> Depth to Water: n• I IF — n <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 'CD &Q aboat jGL(�LIQnS <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> El Boring Installation El Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity 1ATremie Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags Vallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags 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. <br /> 30 6 30 60 6 , Y��/�,� 6 k y1kb � ��o <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 J <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 />