Laserfiche WebLink
SANJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> ' \•rs�?oe�s'r� Greotness grows here. <br /> �^t q MonitoringWell/Soil Boring Inspection Report <br /> Date: L �'o/2L Inspel tor: SL'L n�S "`"/,�lf' <br /> '(1 Z CONSTRUCTION <br /> r. <br /> Facility Address: Total Depth: <br /> Well Address: _1'� Drilling Rig Type: <br /> WP# Well#: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ElYes ❑No <br /> Drilling Comp r Screen Length From: To: <br /> Driller Onsite: Filter Pack From: To: <br /> Consultant: K ATC Bentonite From: To: <br /> Geologist: I �'n- Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑Yes El No casing <br /> height . <br /> If yes, location and distance: W—f <br /> SAMPLING ABO RouND Civimwaox <br /> COMPLETION COMPL09N <br /> Holding Temperature: ot«nd se f w+ <br /> Method: ur«,t <br /> Screening Method: �_ft. <br /> Verified Chain of Custody: ❑Yes ❑No ft. <br /> SPOILS <br /> � T <br /> Contamination Noted: ❑Yes ❑No =_ s <br /> *to tad <br /> If yes,spoils storage Location: aaclon S =_ <br /> rot <br /> Covered: El Yes ❑No _ >ti P <br /> If yes,material: <br /> GROUTING-or-DESTRUCTION Total Depth:--JO -. "" <br /> AL <br /> Depth to Water: ^ YO�� C2h 2k� <br /> Grout Material: r MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: '—I L c /p 11 Casing Type: <br /> Blank Feet Screen Feet <br /> ❑Well Installation "$q�VellDestruction Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure GrorTremie <br /> ❑Other:ver Drill Filter Pack Type/Size: <br /> El Gravi <br /> Type of Method: <br /> ty <br /> Cement471b Water CementMlb <br /> Water allons Be <br /> allons as Vyllx <br /> nBags �entonitelCement Mix 3% Mix 5°I° <br /> Thickest Thinnest tteags Thickest Thinnest Benfenite er471b 1.41 2.47 _ <br /> 2.5 5 1 s 10 1 2.82 4.7 <br /> 5 10 2 10 20 z Bentonlle er 94Ib <br /> 15 3 1s 3o 3 <br /> 10 20 20 40 q <br /> 1 0 <br /> 12.5 25 5 25 50 5 <br /> a 30 as 6 <br /> 15 3U 35 7 35 70 7 <br /> 17.5 <br /> 20 1 qo 1 qo a° a 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />