Laserfiche WebLink
`-U'w^ , SAN�J0AQUIN p <br /> Environmental Health Department <br /> COUNTY— <br /> �.�::.,.:. <br /> Greafness grows here, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1A F�-ttvt Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# 9 L[t2 Well#: Drilling Rig Type: <br /> Soil Boring#:_�- ` 'S l Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: k�\ <br /> Driller Onsite: �1.� Screen Length From: To: <br /> Consultant: ' \Cn&' Filter Pack From: To: <br /> '�.p�tJ41(�� Bentonite From: To: <br /> Geologist: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ANo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes I1No casing <br /> If yes, location and distance: height <br /> SAMPLING VS-6ROUND <br /> Holding Temperature: compLSr10N 00WLETI0N <br /> Method: GrW"'dstx1ace + <br /> Screening Method: <br /> Verified Chain of Custody: ❑ Yes ❑No1h — <br /> »' <br /> fi. <br /> SPOILS <br /> P <br /> Contamination Noted: ❑Yes ❑No a' <br /> If yes,spoils storage Location: <br /> siattsd a,^ � <br /> sscdon _ A <br /> Covered: ❑ Yes ❑No = pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ <br /> � = <br /> Depth to Water: 9 s tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: �— <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation tBoring Destruction 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 jTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> E2. <br /> ns Bags allons Baps <br /> Thl nest / s Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 1 2 zo 2 Bentonite per 94lb 2.82 4.7 <br /> 15 3 15 30 3 "r20 4 20 40 41 . 25 5 25 5o 5 <br /> 15 30 6 3o 60 6 <br /> 17,5 35 7 35 70 7 <br /> 20 40 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />