Laserfiche WebLink
CN�°"° ;: .{ SAN JOAQUIN <br /> Environmental Health Department <br /> , � —COUNTY— <br /> cgQF0 Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ` /M�'Inspector:V017-i D_ - CONSTRUCTION <br /> Facility Address: ZD ✓-Q, <br /> Well Address: Total Depth: <br /> WP# 00 0 3 _Well#: Drilling Rig Type: <br /> Soil Boring#: 9 Min 2"Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company: Screen Length From: To: <br /> Driller Onsite: <br /> Qt, <br /> ��� ��� NA Filter Pack From: To: <br /> Consultant: <br /> Geologist: `-[�Q�.y� 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 ❑No casing <br /> If yes, location and distance: height <br /> itt T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 00r`'F�ION cotriPLEnoN <br /> Method: Ground Surfacs <br /> Screening Method: afO"f — <br /> Verified Chain of Custody: El Yes ❑No n' <br /> it. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No >" <br /> If yes, spoils storage Location: glen" <br /> aK1on <br /> Covered: ❑ Yes ❑No _ g,vjW <br /> If yes, material: <br /> t+ n r <br /> GROUTING or DESTRUCTION Total Depth:2 <br /> Depth to Water: n- n' <br /> Grout Material: ✓WA Gy�'LP� <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: a <br /> Casing Type: <br /> []Well Installation Elwell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation?3oring 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 71b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest i7 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 /> 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 1 25 5 25 5o 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 1 40 8 40 80 8 <br /> A 115 b�ockton, <br /> 10/16/2017 <br /> 1868 Hazelton Avenue I California 95205 1 T 209 468-3420 1 F 209 464-0138 www.sicehd.com <br />