WP0037341 - Laserfiche WebLink

Home Browse Search

Environmental Health Department . S'AU �OAQU'IN p —COUNTY- - trrealness aroF s !sere. Monitoring Well/Soil Boring Inspection Report Date: -inspector: CONSTRUCTION Premise Address: 11_�Wj+0 WP#: / Total Depth: -((.�/J/� Well#: Drilling Rig Type: /'" ltd Soil Boring#: ..� vJ �— illing Company: Min 2"Annular Seal Verified: El Yes El No Dr Driller Onsite: Screen Length From: To: Consultant: Filter Pack From: To:---y�'�- Geologist: Bentonite From: To: Grout From: I To: Public Water System Onsite: 11 Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No 1 casing If yes, location and distance: height SAMPLING AMVE-GROUND Holding Temperature: cowLErjoN a oN Method: Groand Suc9acs Screening Method: Grout Verified Chain of Custody: ElYes ❑No 21 i ft. qo SPOILS Contamination Noted: ❑ Yes ❑No b If yes,spoils storage Location: aacon — 3 Covered: ❑ Yes ❑Nograval Pack _ If yes, material: U2�GROUTING or DESTRUCTION Total Depth: Depth to Water: - - Grout Material: b 3b� Gallons of Grout Used: MATERIALS DEVELOPMEN Casing Type: ;:t�;Dp 1 Well Installation ❑Well Destruction Blank Feet / Screen Feet � /�e ❑Boring Installation ❑ Slot Size: Boring Destruction Bags Size: Cement: METHOD USED Bags Sand/Gravel:,-7 V14 0111 ❑Pressure Grout ❑Over Drill Type/Brand of Bento te: Filter Pack Type/Size: ❑ Gravity remie ❑Other: Type of Method: j O ,^ Water Cement 47 lb Water cement 941b ailons Baas r n1lons Bags Thickest Thinnest xBags Thickest Thinnest 4Bags 2.s 5 1 5 10 1 Bentonite/Cement Mix 30% Mix 5% Mix s 10 2 19 20 2 Bentonite per 47 Ib 1.41 2.47 7.5 15 3 15 30 3 — 10 20 a 20 40 4 Bentonite per 94 Ib 2.82 4.7 12.525 5 25 50 5 i5 30 6 1 3D 6D 6 17.5 35 7 35 70 7 20 40 8 40 80 8 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com