Laserfiche WebLink
SAN JOAQUIN <br /> Environmental Health Department <br /> i + COUNTY <br /> g` Greatness yrows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# 7-Yw 232 Well#: Drilling Rig Type: <br /> Soil Boring#: ��� 2� 3y Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Goo Cow <br /> Driller Onsite: ,''w1. 'o Screen Length From: To: <br /> �o � Filter Pack From: To: <br /> Consultant: (' <br /> Geologist: /f/er 1,0- 0,01 vs;4 eiC Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes [I No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING AWVF--GROUND <br /> Holding Temperature: COMPLETiON COMpLEMN <br /> Method: Ground Swfacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No n' <br /> tt. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No '=' _ CD <br /> If yes, spoils storage Location: slottQd <br /> a*c-,ion _ <br /> Covered: ❑ Yes ❑No <br /> g"Ve'Pack <br /> If yes, material: — <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: lb�- is <br /> Grout Material: ►ibei• -egip"w <br /> Gallons of Grout Used: ,5:� {p � 1 �1 MATERIALS/DEVELOPMENT <br /> 4 [� <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> []Boring Installation XBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #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 /> 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 Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.socehd.com <br />