Laserfiche WebLink
UIN� <br /> <0"Q SAN�:J0AQUIN <br /> Environmental Health Department <br /> - -- <br /> COUNTY - <br /> �� ,, T' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: gj12q I ZoInspector: CONSTRUCTION <br /> Faciliity Address: i2_60 Ou ?10 Sfo(Aon <br /> Well Address: Total Depth: <br /> WP#(o;U8 1'2_0 Z Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: Ueu GX. SuA ',; C Zt�� toraiie <br /> Driller Onsite: OM �creen Length From: To: <br /> Consultant: r\rNet}- Fteir\C Filter Pack From: To: <br /> Geologist: d' Bentonite From: To: <br /> Grout From: To: <br /> Pubhc Water System Onsite: ❑ Yes EJ No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: cotP�noN cobw�LETION <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> tt. <br /> tt. <br /> SPOILS = <br /> — - e <br /> Contamination Noted: ❑ Yes El No = <br /> If yes, spoils storage Location: gonad <br /> &Klan — 3 <br /> Covered: ❑ Yes ❑No _ vw pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:� r� <br /> Depth to Water: P, qi7 4 � ild) e\JV v{TVl1V�(.1 Q t t n- n' <br /> Grout Material: nQ&} <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> �^ Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation j 56oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> uu�� Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill \ S l��h Filter Pack Type/Size: <br /> El Gravity I&Tremie ❑Other: o. a (OIGI J Type of Method: <br /> Water Cement 471b at Cement 94 lb <br /> allons Bas izallons Bags <br /> Thickest Thinnest PBagsZ Thickest Thinnest uBags 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 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.sacehd.com <br />