Laserfiche WebLink
SANJOAQUIN <br />COUNTY <br />Grectness grows here. <br />Environmei ' Health Department <br />Date: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />LI Yes ON° Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: Li Yes Et <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />D Yes LIND <br />Li Boring Installation <br />METHOD USED <br />111Pressure Grout 1110ver Drill <br />LI Gravity OTremie 1110ther: <br /> <br />,....1 I , i f GROUTING or DESTRUCTION Total Depth:3S ,r3 /0 i <br />Depth to Water: A.1-4 / /7s(// <br />Grout Material: -e-duzi— r.e.-4,....k" , <br />Gallons of Grout Used: 6 i /0) / Y i il 11 <br />ElWell Installation ElWell Destruction <br />Pl<r-ing Destruction <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />Yes ElNo <br />D Yes LIN° <br />Feet <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen <br />Slot Size: <br />1.41 2.47 <br />5% Mix 3% Mix Bentonite/Cement Mix <br />Bentonite per 47 lb <br />2.82 4.7 Bentonite per 94 lb <br />Monitoring Well/Soil Boring Inspection Report <br />7 Inspector: 1-144-4-1'(-• <br />Facility A s:__)S / <br />CONSTRUCTION <br />water <br />gallons <br />Lament 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7,5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 SO 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 , 80 a <br />Well Address: .-Z—.CJ 3- <br />y„ <br />1868 E. Hazelton Avenue Stockton, California 95205 1 209 468-3420 F 209 464-0138 www.sicehd.com <br />10/16/2017 <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />COMPLETION 1=1 Stove Pipe <br />casing <br />height <br />Li Christie Box <br />cl-paisr?-pox ' <br />COMPLET19N <br />tt <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />ein 2" Annular EHD Seal Verified: <br />From: <br />From: <br />From: <br />From: <br />Total Depth: <br />Drilling Rig Type: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Yes EINo <br />To: <br />To: <br />To: <br />To: