Laserfiche WebLink
SAN JUAQUIN Environmental Health Department <br /> —COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Spector: CONSTRUCTION <br /> Facility Address: v.9Q•c�,j���o <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: AW V--) <br /> Drilling Company: � Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 'tc_ �A1J 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 /> W.— T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLEnON COMP ON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft• <br /> ft. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: <br /> slotted <br /> sac�an <br /> Covered: ❑ Yes ❑No = ate* <br /> If yes, material: w <br /> GROUTING or DESTRUCTION Total Depth: <br /> �i <br /> Depth to Water: 21 ft• 2F — ft• <br /> Grout Material: <br /> Gallons of Grout Used: \�O MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation B Slot Size: <br /> oring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> f Filter Pack Type/Size: <br /> El Gravity LJTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest ttBags BentonitelCement Mix 3% Mix 5% Mix <br /> 2.5 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 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 1 6 30 60 6 <br /> 17.5 35 1 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.sirehd.cnm <br />