Laserfiche WebLink
l °-- SAN_,J0A0UIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /y Inspector: CONSTRUCTION <br /> Facility A dress: �iiu ►-� Pr,.n,, tzd <br /> Well Address: Total Depth: <br /> WP#(2U-3M 91 Well#: Drilling Rig Type: <br /> Soil Boring#: 17– j)9:7- c$- LAO <br /> Drilling Company:����, 67)eC,.,e,�,,,,��-.e.e Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> 9—,w. <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: _a� Filter Pack From: To: <br /> Geologist: �A,,,..�.o J--��d-r� 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 !ABOVE-GROUND <br /> Holding Temperature: CCWLEr30N cCOMPLE=- ON <br /> Method: Grotind Svriaca <br /> Screening Method: orocn <br /> Verified Chain of Custody: ❑ Yes ❑No f- <br /> ft. <br /> fi. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> swan •d- __ � <br /> Covered: ❑ Yes []No - <br /> If yes, material: <br /> 571 <br /> GROUTING or DESTRUCTION Total Depth: IF <br /> Depth to Water: <br /> Grout Material: ,OAA* MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: q011 <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ®ring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: <br /> � Filter Pack Type/Size: <br /> Elk Gravity remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gaill ons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest Bags Bentonite/Gement Mix 3% Mix 5% Mix_ <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 i <br /> 10 20 a 20 0 a <br /> 5 <br /> 12.5 25 s 25 s0 s <br /> 15 30 6 30 60 6 1 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 �lj��4w, <br /> ' � 1, rw � 4-0 5e+ -IJ 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.slcehd.com <br />