Laserfiche WebLink
SANA0A0UIN <br /> Environmental Health Department <br /> —COUNTY--- <br /> Greatness <br /> COUNTY — <br /> Greatness grows herr. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3 (, G) Inspector: Jg, X' CONSTRUCTION <br /> Facility Address: S <br /> Well Address: Total Depth: 5.!;-- <br /> W <br /> WP# o034-4(o�.S Well#: SVZ Drilling Rig Type: A—A — <br /> Soil Boring#: <br /> Drilling Company: r1 <br /> Min 2"Annular EHD Seal Verified: Q'Yes ❑No <br /> l/ pc <br /> Driller Onsite: Length From: To: <br /> Consultant: Filter Pack From: `f -S To: <br /> Geologist: <br /> Bentonite From: To: `t_5' <br /> Grout From: a To: Z.9- <br /> Public <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe GChristie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING A OVE-GRCUND <br /> Holding Temperature: COIP�ioN �LETIOXi <br /> Method: Ground Surfaces <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> ft. <br /> n. <br /> SPOILS <br /> _ - e <br /> Contamination Noted: ❑ Yes ❑No - <br /> If yes, spoils storage Location: <br /> on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ">-S <br /> Depth to Water: n• tt• <br /> Grout Material: nr.7k e.,, .a..' � <br /> ^�„ <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> �, � Casing Type: l <br /> LIVWell 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: ¢3 <br /> L-Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest aBags Thickest Thinnest "Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 s 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 420 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 a <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.s*cehd.com <br />