Laserfiche WebLink
SAN JOAQUIN <br />--COUNTY - <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: la N l 1 Y Inspector: A401 et - <br />Facility Address: "[A5 N • i.U,, I-, <br />Well Address: <br />WP#ap 3-s'zgp Well#: <br />Soil Boring#: I31 <br />Drilling Company: t;rt7 cr►- <br />Driller Onsite: c ,_ <br />Consultant: krz4 -2 <br />Geologist: ►2 Q,r, }�,,,. <br />Public Water System Onsite <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />❑ Yes El No COMPLETION ❑ Stove Pipe <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <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 />❑ Yes ❑ No <br />❑ Yes ❑No <br />Covered: ❑ Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 101 <br />Depth to Water: <br />Grout Material: (U iA i <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation$KBoring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie Q,Other: +(0,0 6A11,11 <br />Water <br />allons <br />Cement 471b <br />Bas <br />I <br />Water <br />zallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />FBags <br />Thickest Thinnest <br />»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 />15 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />so <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 />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND CHRLSTY43OX <br />COMPLETION COMPLETION <br />Ground surface . <br />grout <br />ft. <br />ft. <br />ft. _ <br />.K: <br />— o <br />slotted = B <br />section <br />MATERIALS/DEVELOPMENT <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 />Benton ltelCement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />10/16/2017 <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 />