Laserfiche WebLink
SANJOAQUIN <br />- Environmental Health Department <br />"COU NTY— <br />\Ls' Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 1' I Z-1 i Ins r: 1 1;SSH 71; SS: vyl <br />Facility Address: ;U -0U pec oYUS[r1; 4c avC- <br />Well Address: <br />W P# Wel I#: <br />Soil Boring#: p Vj <br />Drilling Company: Ir,,u T i. <br />Driller Onsite: 1 d . <br />Consultant: I e t n ; t I <br />Geologist: 7'Vl ('-G all) - <br />1j►l) - <br />J <br />Public Water System Onsite: ❑ Yes ❑No <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 />cpnll r, <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth:3o 6.s r; ink <br />Depth to Water: ti I()' <br />Grout Material: NI o C, k C e Mz n <br />Gallons of Grout Used: 'SIU <br />,Well Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bags <br />Water <br />Rallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />9Bags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />s 10 <br />2 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />1s 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />CONSTRUCTION <br />Total Depth: J U <br />Drilling Rig Type: C Im <br />Min 2" Annular EHD Seal Verified: A Yes ❑No <br />Screen Length From: 3 () To: a. S <br />Filter Pack--SAr(krom: 3U To: <br />Bentonite From: To: <br />Grout From: CQ S To: f �� <br />COMPLETION XStove Pipe ❑Christie Box <br />casing <br />height <br />ABOVEGROUND cNAlsti aax <br />COM?LETIOtJ COMPLETION <br />Ground sorra c. <br />grout <br />ft. <br />fit <br />S. <br />o <br />— w <br />— a <br />slotted v: <br />saccn � — <br />1 <br />ft. <br />MATERIALS/DEVELOPMENT, <br />Casing Ty e: V g <br />Blank _Feet ScreenFeet <br />Slot Size: 0 , C) 0 <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: L S <br />Filter Pack Type/Size: 3 Sun G . <br />Type of Method: A 4 Y P <br />Bentonite/Cement Mix 3% Mix 3% 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.sicehd.com <br />