Laserfiche WebLink
SANJOAQUIN <br /> ( Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: J419'11"/ Inspector: CONSTRUCTION <br /> Facility Address: (o <br /> Well Address: /7i 6/ (S• Total Depth: <br /> WP# co gjT31 Weil#: Drilling Rig Type: <br /> Soil Boring#: AV al, gsf e8 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: (r­nV <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: &Jae Filter Pack From: To: <br /> Geologist: "kly'/' Bentonite From: To: <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: � height <br /> SAMPLING ABOVE-GROUND CFff1tM43OX <br /> Holding Temperature: coMPLETION COMPLETroN <br /> Method: Gmnd s'"i"' 7_ <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑Nutt' <br /> n. <br /> SPOILS , <br /> o <br /> Contamination Noted: ❑ Yes ONO c° _ <br /> If yes,spoils storage Location: gI <br /> .k <br /> wedon ip _ 8 <br /> Covered: ❑Yes ONO <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: /Z =_ <br /> Depth to Water: 91r <br /> Grout Material: AjlegjlAyoW <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation G36oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout []Over Drill Type/Brand of Bentonite: <br /> --// Filter Pack Type/Size: <br /> El Gravity L�Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> ailons 2allons Bags <br /> ThIcZt Thinnest #Bags Thickest Thinnest At Bags _ 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 /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 Be 8 <br /> 1 <br /> 0 0 t -J 14 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s6cehd.com <br />