FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

SAN.JOAQUIN Environmental Health Department ;af_•I�'cF � —COUNTY— p Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: Z-16-Z5 Inspector: A1#&EE^k CONSTRUCTION Facility Address: :Y79 N. 1d7 dyX Well Address: Total Depth: WP# S77`/ z/2 Well#: Drilling Rig Type: Soil Boring#: 8-3 Min 2"Annular EHD Seal Verified: ❑ Yes ONO Drilling Company: crNi-I Driller Onsite: sib Screen Length From: To: Consultant: Filter Pack From: To: Geologist: S W,w Bentonite From: To: Grout From: To: Public Water System Onsite: ❑Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑Yes ❑No casing If yes, location and distance: M height T SAMPLING ABOVE-GROUND T COMPLETION CY-BOx Holding Temperature: cornalOMPLFrloN Method: Ground S"rt"'7 Screening Method: or&A Verified Chain of Custody: ❑Yes ❑No n. —n. n. SPOILS 4 Contamination Noted: ❑Yes El No m° e If yes,spoils storage Location: 4wnad !: &action Covered: ❑Yes ONO '1 = Pack If yes,material: GROUTING or DESTRUCTION Total Depth: 60 Depth to Water: n• — n. Grout Material: /✓ 4 Eno Gallons of Grout Used: /DO 82/LOwf MATERIALS/DEVELOPMENT Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑Borin Installation11 Slot Size: g NJBoring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: ❑Pressure Grout ❑EOver Drill filter Pack Type/Size: ElGravity Lyl remie ❑Other: Type of Method: Water Cement 471b Water Cement 941b allons Bags gallons Bags Thickest Thinnest 11 Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3%Mix 5%MIX 15 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 7.5 15 3 15 30 3 30 20 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazeiton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com