Laserfiche WebLink
r <br /> SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> 4Fotiy�4 Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: U113121 Inspector:_ t CONSTRUCTION <br /> Facility Address: 30B( N 1 1"G.C1uI &KA <br /> Well Address: V Total Depth: <br /> WP# (-)()44 136 Well#: 5A4� Drilling Rig Type: <br /> Soil Boring#: U <br /> Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Q � Screen Length From: To: <br /> Consultant: UX (��5(_Ab0 e5 , ={IL Filter Pack From: To: <br /> Geologist: Emma . 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 casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLEDON COMPLETION <br /> Method: Ground Ste"' <br /> Screening Method: grout <br /> Verified Chain of Custody: [IYes ❑No �n' <br /> n. <br /> n. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: stonQd <br /> wc9on '— <br /> Covered: ❑ Yes ❑No = I <br /> If yes, material: A <br /> GROUTING or DESTRUCTION Total Depth: 51 =_ <br /> Depth to Water: tt tt' <br /> Grout Material: ✓y.61.•1' cenVn l <br /> " � MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ^' �dNuA Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation El Boring 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 /> ❑ Gravity ❑Tres ❑Other: Type of Method: <br /> Water men,471b Water Cement 94lb <br /> allons I s gallons Bags <br /> Thickest Thinnest kBa Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 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 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />