Laserfiche WebLink
•°'"g SMdOAQUIN <br /> Environmental Health Department <br /> lCOUNTY—Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:L'l�Zc� Inspector: CONSTRUCTION <br /> Facility Address: �- <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: D Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: )4 1 Cs,'d C (fir. c C <br /> Screen Length From: To: <br /> Driller Onsite: � <br /> — <br /> Consultant: 0"11-11k Filter Pack From: To:VC(C . ' �•� z,. .-«--a <br /> Geologist: ct ti 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 1:1 No casing <br /> If yes, location and distance: height <br /> SAMPLING WT <br /> AWVE-GROUND <br /> Holding Temperature: COWLETION CoMPLEMN <br /> Method: Ground Surf=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS 1 <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stottQd ` __ <br /> sacson r <br /> Covered: ❑ Yes ❑No <br /> g-ve'Pack <br /> If yes, material: µ <br /> GROUTING or DESTRUCTION Total Depth: 15 <br /> Depth to Water: iw Cr-, <br /> Grout Material: c C, evv k <br /> Gallons of Grout Used: 1e9--1Z.,3 i `"c'a�`�io�e MATERIALS/DEVELOPMENT <br /> ' Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Cd BSlot Size: <br /> oring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie [tether: ,fit Ai-IL Type of Method: <br /> t C nt 71b water Cement 941b <br /> allons Basgallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 1 2.821 4.7 <br /> 7.5 is 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 5-5- if 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />