Laserfiche WebLink
z SANJOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness <br /> OUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: IC i -2020 Inspector: carni rrpero CONSTRUCTION <br /> Facility Address: VWQ &n7gIWC� PO'(t Of CtGCK W <br /> Well Address: Total Depth: <br /> WP#0041202 Well#: Drilling Rig Type: <br /> Soil Boring#: Cf T• 2 3 • CpT- ;a , CPT-3Q <br /> Drilling Company: GAG' I=X SIfY�CIi(FQCtl E?�p1GfOt10n Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Screen Length From: To: <br /> Driller Onsite: OM <br /> Consultant: GUnr,Qit-FlQminq Filter Pack From: To: <br /> Geologist: r►m r�u Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes E]No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING A SOVE-GROUND <br /> Holding Temperature: COWFLETION COMPLEMN <br /> Method: Ground Sutacs <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes EJ No �ft. <br /> tt. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: ' = 3 <br /> on — <br /> Covered: ❑ Yes ❑No = g-w+Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 11 n• n' <br /> Grout Material: NgQ,f CQ(%n-f <br /> Gallons of Grout Used: W2 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation C�Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity 12[Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest IBags 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 CVT -23 CPT 131 <br /> 12.5 25 5 25 50 5 / <br /> 15 30 6 30 60 6 1.Cj X q-1 Ib (Q1lWf 3 x y1 Ib CQMerrt� 3 x wri b C~ <br /> 17.5 35 7 35 70 7 <br /> 20 40 s 40 so a iQ y�i1tQ(IS Vv(?1�r 1^ qgtm c "(41Qr 12 gCi1IOT YlAr <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.sicehd.com <br />