Laserfiche WebLink
.:,;:.. . <br />SAN 10AQUIN <br />Environmental Health Department <br />COUNTY <br />Water <br />Rallons <br />Greatness rocs here. <br />9 <br />Thickest Thinnest <br />Monitoring Well/Soil <br />Boring Inspection Report <br />Date: Zo1(8 Ins ector: H <br />CONSTRUCTION <br />Facility Address: TO�C/r(rPet- <br />1 <br />Well Address: <br />Total Depth: <br />WP# Well#: <br />Drilling Rig Type: <br />Soil Boring#: <br />Min 2" Annular EHD Seal Vel-'ified: ❑ Yes ❑No <br />Drilling Company: <br />7.5 <br />Driller Onsite: <br />Screen Length From: To: <br />Consultant: <br />Filter Pack From: To: <br />Geologist: <br />Bentonite From: To: <br />4 <br />Grout From: To: <br />Public Water System Onsite: ❑ Yes ❑No <br />COMPLETION ❑ Stove Pipe ❑Christie Box <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: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />i <br />GROUTING or DESTRUCTION Total Depth:_ <br />Depth to Water: et <br />Grout Material: <br />Gallons of Grout Used: $� <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation �Boring Destruction <br />nnFTunn I KUM <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />Rallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />!l Bags <br />2.5 <br />5 <br />1 <br />5 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 30 <br />3 <br />10 <br />20 <br />4 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />3S <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />JHTcasing <br />height <br />7 9— <br />ABOVE-GROUND Ci i1STY 80X <br />COMiPLET10N C 0MPLETION <br />Ground Surfaos .—�-- <br />grout <br />ft. <br />ft. <br />M <br />_ = o <br />slotted _ <br />sacdon <br />Brawl pack <br />ttIF—IFft <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 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 />Screen Feet <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 />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 <br />10/16/2017 <br />www.s*cehd.com <br />