Laserfiche WebLink
QUIAI <br /> °" SAN JOAQUIN Environmental Health Department <br /> lr� P`' COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> /Zvi� --�) Af <br /> Date Inspector: �� . K r`PCONSTRUCTION <br /> Facility Address: SCO �- Lo(-4;Sx Q ,,2 <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: T' S C T 7-� PT 2CPl/ <br /> Drilling Compan ,' � Min 2" Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 5 0Uq �y� Filter Pack From: To: <br /> Geologist:-jzO vn-Q Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> ++ T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CotrP�noN comPtsnorxi <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS <br /> o <br /> Contamination Noted: ❑ Yes ❑No r" <br /> If yes, spoils storage Location: stottod .8 <br /> Covered: ❑ Yes ❑No <br /> gravel pack <br /> If yes, material: c rr <br /> GROUTING or DESTRUCTI N Total Depth: CI< X 6� • <br /> Depth to Water: ' I I f 5 n- tt. <br /> Grout Material: <br /> Gallons of Grout Used: 0.1 oKS MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation•Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 5�Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gall s Bas aallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 3% 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 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 35 1 70 7 <br /> 20 40 1 40 1 80 8 <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 />