Laserfiche WebLink
SAN. JOAQUIN Environmental Health Department <br /> COUNTY <br /> °9:Foar- Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: <br /> /"4s��— CONSTRUCTION / �' , �� <br /> Facility Address:-/tv meK-T'& <br /> Well Address: Total Depth: _ <br /> WP#z:v� 39'730 Well#: Drilling Rig Type: C JAS <br /> Soil Boring#: R fy '�?>sr Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 0 N COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING A.BOVE.caourro <br /> Holding Temperature: COWPLErtON ccc#APLEnoN <br /> Method: <br /> J t3=nd Surtac. <br /> Screening Method: '�(� Z''3� yi I ar«n <br /> Verified Chain of Custody: El Yes El No <br /> 8 IS"A"i7 ly S ft. n. <br /> SPOILS <br /> A\1 — -: <br /> Contamination Noted: ❑ Yes El No = <br /> C <br /> If yes, spoils storage Location: slotted <br /> an -- 3 <br /> Covered: ❑ Yes ❑No <br /> wv�w Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: — <br /> Depth to Water: Ab Gu/ <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation [Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie [ Other:. �Q: �C Type of Method: <br /> ate ent 471b Water Cement 941b <br /> gallons Bas gallons Bags <br /> Thi innest RBags Thickest Thinnest JJ Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 16 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 4o eo 1 B <br /> Sd r y� 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />