Laserfiche WebLink
SAN JOAQUIN Environments. Health Department <br /> COUNTY <br /> Greatness grows here: <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1/isb'1.1 Inspector: CONSTRUCTION <br /> Facility Address: <o4 1 E• CLMj k« tA' <br /> Well Address: Total Depth: <br /> WP#6a-a ti73 Well#: Ov,a Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ONO <br /> Drilling Company: 5/r�6 1L <br /> /3d b Screen Length From: To: <br /> Driller Onsite: Filter Pack From: To: <br /> Consultant: g�d 6 <br /> Geologist: F h Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height: <br /> SAMPLING AeoVIIE-GROUND cHIP11mrr-eox <br /> Holding Temperature: CONFLETION cOMPLEr1ON <br /> Method: —end S <br /> Screening Method: °rout <br /> Verified Chain of Custody: ❑ Yes ❑Noh; <br /> SPOILS =_ <br /> — o <br /> Contamination Noted: ❑Yes ONO <br /> If yes,spoils storage Location: <br /> sWttad °7 A= � 3 <br /> "cdon 1-0i <br /> Covered: ❑ Yes ❑Na _ yr,vaPack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: l <br /> Depth to Water: 7-6 s <br /> Grout Material: M-Ay,-1-C MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation IXWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity IKTremie ❑Other: Type of Method: <br /> Water cement 471b Water Cement 941b <br /> M <br /> Bags alto is Bags <br /> est 9Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% MIX 5ya MIX <br /> 1 s 10 2 Bentonite er47lb 1.41 2.47 <br /> 2 10 20 2 Bentonite er 94 Ib 2.82 .7 <br /> 3 15 30 3 <br /> 4 20 40 4 �6 /(, AS 47/bs <br /> 5 15 50 5 / <br /> 6 30 00 6 �59 y�r/US y��bs <br /> 7 35 70 7 (! 7 <br /> 8 40 80 1 B <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 />