Laserfiche WebLink
SAN,JOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> °�yP Greatness grows here. <br /> I Monitoring Well/Soil Boring Inspection Report <br /> Date: o1 Irl/rr,, } Inspector: CONSTRUCTION <br /> Facility Address.-RI(I 1)T)Yl�;4n LAani <br /> Well Address: Total Depth: <br /> WP# 0 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company:_ J <br /> Driller Onsite: JJJ Screen Length From: To: <br /> Consultant: �tiYyV�fis �,, ��Filter Pack From: To: <br /> Geologist: �7a�-n,(,� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING AZOVE-GROUND <br /> Holding Temperature: COWLEMN COOMPLET1oN <br /> Method: Ground Surface <br /> Screening Method: gfout <br /> Verified Chain of Custody: ❑ Yes El No �n. <br /> tt. <br /> ft. <br /> SPOILS <br /> 0 <br /> Contamination Noted: ❑ Yes ❑No >` <br /> If yes,spoils storage Location: slotted <br /> soon <br /> Covered: ❑ Yes ❑No <br /> if es, material: <br /> GROUTIN or DESTRUCTION Total Depth: -_ <br /> Dept to Water: n' ft. <br /> Grout Material:. k�p at Lervy'LAIT <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ell 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 ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 11 Bags Thickest Thinnest 4Bags Bentonite/Cement 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 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 8 40 80 8 <br /> �- 35�6(1(byt } It 611 t✓r vV a L- 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stotop California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s*cehd.com <br />