FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

i SAN JOAQUIN Environmental Health Department COUNTY— „ Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: 2"1 Inspector: \nCJ CONSTRUCTION Facility Address: hr')'A CILOA nk. 5t0(,-ftin Well Address: i Total Depth: WP#I VI��IAS Well##: Drilling Rig Type: Soil Boring#t: S \ Rkk 0 S-4 SJAft. 2"Annular EHD Seal Verified: El Yes ❑No Drilling Company: Iry f2 Driller Onsite: S\la�� Q. Screen Length From: To: Consultant: Da\j it. r-1 n Filter Pack From: To: Geologist: C&69 VA1 \0A)e 'X. Bentonite From: To: Grout From: To: Public Water System Onsite: ❑Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑Yes ❑No casing If yes, location and distance: TffT height SAMPLING AnOVE-0M.11SID cHilM-Box Holding Temperature: CONFLSnON COMPLETION Method: C3rounas"t"' 7- Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No tt. n. SPOILS Contamination Noted: ❑Yes ❑No ° If yes,spoils storage Location: 001 ,b :=on Covered: ❑Yes ❑No %s w = ¢ate pack If yes, material: = ".. GROUTING or DESTRUCTION Total Depth: Depth to Water: Grout Material: Neak h• MATERIALS/DEVELOPMENT Gallons of Grout Used: ti (YA . Casing Type: ❑Well Installation Awell Destruction Blank Feet Screen Feet Slot Size: ❑Boring installation ❑Boring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ,Gravity XTremie &other: Uq6q'L5. Type of Method: Water ment 471b Water Cement941b allons Baas aallons Bags Thickest Thinnest Thickest I Thinnest 4B39s Bentonite/Cement Mix 3%MIX 5%MIX _ 2.5 5 11 5 10 1 Bentonite per 47 lb 1 1.411 2.47 5 10 2 10 20 2 Bentonite per 94lb 1 2.821 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 s0 5 15 30 61 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com