Laserfiche WebLink
_ 4 • SA N-�J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> ""r/ <br /> OU NTY <br /> Fo�J Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: IO I- I Ins ector: CONSTRUCTION <br /> Facility Address: 2�)i(� ` ��� Ti'i✓n� <br /> Well Address: Total Depth: <br /> WP# 00 4t Dl 2�'0 Well#: Drilling Rig Type: <br /> Soil Boring#: � l Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> _ <br /> Drilling Company: 0 vl,— <br /> Driller Onsite: , sk�yti Screen Length From: To: <br /> Consultant: a-ki Li'y-L <br /> Filter Pack From: To: <br /> Geologist: d kal-�V\-/ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLET ON c4wPLEnoN <br /> Method: Ground Sirf"' <br /> Screening Method: grow <br /> Verified Chain of Custody: E] Yes El No .,Ir _ft. <br /> n. <br /> n. <br /> SPOILS . <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: slotted _ B <br /> soon <br /> Covered: ❑ Yes []No <br /> gira= vell a <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: =_ <br /> Depth to Water: n- ft' <br /> Grout Material: t �V <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 Noring 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 /> 71``Gravity ❑Tremie ❑Other: Type of Method: <br /> CC Water Ce ent 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest sBags Thickest Thinnest 41 Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 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 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />