Laserfiche WebLink
`- SA N 1 OAQ U I N Environmental Health Department <br /> COUNTY— <br /> O� P Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: _P1717A Inspector: . L'e0-'Q CONSTRUCTION <br /> Facility Address: 'L Zcf t-4n ,r f df <br /> Well Address: Total Depth: <br /> WP#7,50113 2 Well#:Iry -LI Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: aakc,4pA" /�� Screen Length From: To: <br /> Driller Onsite:6 riP✓w r{i�iLtGt� <br /> Consultant: LAo0el k Yod- Filter Pack From: To: <br /> Geologist: .Ga..-1p� <br /> Bentonite From: To: <br /> in <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: 310— <br /> � height <br /> _qw-f <br /> SAMPLING Agpyg-GRCUNp <br /> Holding Temperature: COWL MN conP r LEnoX i <br /> Method: G=nd Su facs <br /> Screening Method: 1 11, <br /> gr°ut <br /> Verified Chain of Custody: ❑ Yes ❑No -�--n' <br /> ft. <br /> ft. <br /> SPOILS = <br /> m <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: .to"a <br /> Covered: ❑ Yes ❑No = g,,,ol <br /> If yes, material: z <br /> GROUTING or DESTRUCTION Total Depth: =_ <br /> Depth to Water: ?);? I ft. ft' <br /> Grout Material: V1 Cot�-CP+nmpv� } MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: I A E;!% <br /> Casing Type: <br /> ❑Well Installation PjWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity 'Premie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest JtBags Thickest Thinnest 4aags Bentanite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />