Laserfiche WebLink
SAN lOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: tm Inspector: S �pl 0 CONSTRUCTION <br /> Facility Address: M10 RA 21 f1IVl Vt✓ <br /> Well Address: Total Depth: <br /> "#jW: '?400GgLA Well#: Mhly Drilling Rig Type: <br /> Soil Boring#: MWq OW 1 ()tiW5 OW fp MW 3 <br /> Drilling Company:_'V ZIA �Ili t-301 Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: 011 Screen Length From: To: <br /> Consultant:_ tZ 6 nd Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑ Yes []No casing <br /> If yes, location and distance: � height <br /> R <br /> SAMPLING AeoVE•GROUND <br /> Holding Temperature: CO&FLEMN COMPLETION <br /> Method: Dround8 rlaat <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes El No <br /> ft. <br /> _e. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: �btud <br /> s°c7an �j _ 8 <br /> Covered: ❑ Yes ❑No gravol <br /> ipack <br /> If yes, material: ��CC <br /> GROUTING or DESTRUCTION Total Depth: %' X ZXZ,4S i x3t <br /> Depth to Water: e• e <br /> Grout Material: NfAf- GfAYWVI•f— MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: EM GA A I Casing Type: <br /> ❑Well Installation �Uell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑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 XTremie ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 94lb <br /> allons Bags gallons Oaks <br /> midcet Thinnest pBags Thickest Thinnest kBags _ BentonitelCement MiX 3% MIX 5%MIX <br /> 2s s 1 s l0 3 Bentonite per IIA1 2A7 <br /> s 10 2 10 30 Bentonite per 94 lb 2.82 4.7 <br /> ZS 15 3 15 30 3 , <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 V <br /> 15 30 6 30 60 6 n ,S 1 �S �,,,•(� / 1/ ' <br /> 37.5 35 7 <br /> 20 40 0 40 30 0 r <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 />