Laserfiche WebLink
SAN-JUAUUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: iVAs&45' CONSTRUCTION <br /> Facility Address: 76y7 <br /> Total Depth: <br /> Well Address: <br /> Drilling Rig Type: <br /> Wp#'Q2- O2 Well#: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: CAI E Screen Length From: To: <br /> Driller Onsite: fdN Filter Pack From: To: <br /> Consultant: A Bentonite From: To: <br /> Geologist: �}�rr ��"'�'" Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: [I Yes ❑No Casing <br /> ---��� height <br /> If yes, location and distance: <br /> ABOVE-GFICUNC CWiST1'4e0x <br /> SAMPLING COMPLETION COMPLETION <br /> Holding Temperature: G cand surf=* --r—� <br /> Method: gran <br /> Screening Method: �_tt <br /> Verified Chain of Custody: ❑ Yes ❑No tt• <br /> SPOILS -_ a <br /> Contamination Noted: ❑ Yes ❑No — j <br /> ` = <br /> If yes, spoils storage Location: ab"Qd = A <br /> sacion 3 <br /> Covered: ❑ Yes ❑No _ ' oRVBt Pack <br /> If yes, material: �r <br /> GROUTING or DESTRUCTION Total Depth: tt <br /> Depth to Water: 25- <br /> N <br /> Grout Material: A/ u +� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 5344� Casing Type: <br /> ❑Well Installation [Well Destruction <br /> Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation El Boring 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 u I remie ❑Other: <br /> Type of Method: <br /> Water cement 471b Water Cement 941b <br /> Be s allons Ba <br /> allons p0ags BentonitelCement Mix 3% Mix 5% Mix <br /> Thickest Thinnest uBags thickest Thinnest Bentonite er471b 1.41 2.47 <br /> 25 5 10 1 2.82 4.7 <br /> 5 10 � >So xo 2 Bentonite per 94 Ib <br /> 7.5 15 3 Is 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 so 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 6o 0 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 wovw sicehd.Com <br />