Laserfiche WebLink
SAN JOAQUIN <br />COUNTY— <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 11%Z Inspector: &09 S%6j;-400 CONSTRUCTION <br />Facility Address: 75[XO • w,ot-f- Lac - <br />Well Address: Total Depth: <br />WP# Well#: Drilling Rig Type: <br />Soil Boring#: , ? Min 2" Annular EHD Seal Verified: <br />Drilling Company: Pic Q/' +Cc9Sd ✓►Lo T <br />❑ Yes ❑ No <br />Driller Onsite: Lu J/0"_ , Ky e- <br />Screen Length <br />From: <br />To: <br />Consultant: <br />Filter Pack <br />From: <br />To: <br />Geologist: <br />Bentonite <br />From: <br />To: <br />1 <br />Grout <br />From: <br />To: <br />Public Water System Onsite: ❑ Yes XNo <br />COMPLETION <br />❑ Stove Pipe <br />[]Christie Box <br />Domestic Well Onsite:. ❑ Yes $4No <br />If yes, location and distance: <br />CAKAPI Inl(, <br />Holding Temperature:_ <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />❑ Yes ❑ No <br />❑ Yes KNo <br />❑ Yes ❑ No <br />If yes, material: / <br />GROUTING or DESTRUCTION Total De�th: ,35' <br />Depth to Water: A/p G,,tj de e <br />Grout Material: Alec* [e,~sM� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation JkBoring Destruction <br />METHOD USED <br />Oressure Grout ❑Over Drill <br />[Gravity Xremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />vallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />1t Bags <br />Thickest Thinnest <br />b Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 1 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />-ft <br />MATERIALS/DEVELOPMENT 104 <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />etssl <br />"' 2 4A"%_1 <br />�34ADV -1 b 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />