Laserfiche WebLink
SAkQ. JOAQUIN <br />—COUNTY— <br />! <br />Greotness grotYs here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Z! I U Z Z Inspector: , (& S " CIS I CONSTRUCTION <br />Facility Address: Z�Z2 "fort- cKto'In <br />Well Address: Total Depth: <br />WP# 0o Z' Z Well#: Drilling Rig Type: <br />Soil Boring#: S� 747 Min 2" Annular EHD Seal Verified: <br />Drilling Company: 'I&b Cy L)n % i 411 _ <br />❑ Yes 0 N <br />Driller Onsite: Screen Length From: To: <br />Consultant: Gc !tet Ct- e�t_�y Filter Pack From: To: <br />Geologist: Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />cnnnoi inif-- <br />Holding Temperature:_ <br />Method: - <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: 0 )ion <br />❑ Yes ❑No <br />❑ Yes ❑No <br />-Yes El No <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 13 / <br />Grout Material e&f C, 2 <br />Gallons of Grout Used: c 'q ( o <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity KTremie ❑Other: <br />Water <br />allons <br />3% Mix <br />Cement 471b <br />Ba s <br />Water <br />allons <br />Bentonite per 94 Ib <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />2.5 :i <br />5 10 <br />k Bags <br />1 - - --- <br />2 <br />Thickest Thinnest <br />5 10 <br /># Bags <br />L <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 1 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />Bentonitelcement - Mix <br />entoniie per'l7 Ib --- <br />3% Mix <br />5% Mix <br />_2.47 <br />4.7 <br />1.41 <br />Bentonite per 94 Ib <br />2.82 <br />10/16/2017 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />