Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> / Monitoring Well/Soil Boring Inspection Report <br /> Date: 3 .d/G(z3 Inspector: XA&e lot CONSTRUCTION <br /> Facility Address: 7(py7 P4eth 4V5- <br /> Well Address: yI -q Total Depth: <br /> WP#oOydbJ Well#: iM (pl,�-lb Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: I Casu e. <br /> Driller Onsite: 71 *-V' Screen Length From: To: <br /> Consultant: A-Elus Filter Pack From: To: <br /> Geologist: !:Pk S¢twww- 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 �(((����II casing <br /> If yes, location and distance: I height <br /> SAMPLING ABOVE-GROUND <br /> COMPLETION COMPLETIO <br /> Holding Temperature: cotwriErioN <br /> Method: G=na sutac. <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No z--n <br /> —n. <br /> n. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ONOP <br /> If yes,spoils storage Location: awned <br /> sarlon = B <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: UOf i <br /> DepthtoWater: '3 n. tt. <br /> Grout Material: ;WZ7 CQtnfK <br /> Gallons of Grout Used: d Z�gj&.jr, 94r FU oK MATERIALS/DEVELOPMENT <br /> f Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> LdPressure Grout Over Drill Type/Brand of Bentonite: <br /> 1h�"cl � Filter Pack Type/Size: <br /> ElGravity L(Tremie ❑Other: Type of Method: <br /> MW•-I(O <br /> Water cement 471b Water Cement 941b <br /> allons Bags allons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags Bentonite/Cement MIX 3%MIX 5%MIX <br /> z5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 1L5 25 5 15 50 5 M .-✓1 fYPS+uK-�'JY%,4e <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 r d✓wj ri-d <br /> 20 40 8 40 <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 />