Laserfiche WebLink
. <br /> SANdOAQUIN <br /> a • itAl <br /> ll ' <br /> v Environmental Health Department <br /> COUNTY— <br /> _ ; <br /> Greatness w <br /> y ros here . <br /> '�ciroPr:. <br /> / <br /> Monitoring Well /Soil Boring Inspection Report <br /> Date : 2 S( Z� Insector : J C CONSTRUCTION <br /> Facility Address : 1� 50 � - il <br /> Well Address : Total Depth : <br /> WP# CX) ( Z Z 5 Well #: — Drilling Rig Type : <br /> Soil Boring# : <br /> Drilling Company : Min 2" Annular EHD Seal Verified : ❑ Yes 11 No <br /> Driller Onsite : Screen Length From : To : <br /> Consultant : A v2v � � y Filter Pack From : To : <br /> Geologist : Bentonite From : To : <br /> Grout From : To : <br /> Public Water System Onsite : ❑ Yes F1 No COMPLETION ❑ Stove Pipe ❑ Christie Box <br /> Domestic Well Onsite : ❑ Yes ❑ No easing <br /> If yes, location and distance : height <br /> SAMPLING <br /> yEGpz,Np <br /> CO�,rlPLEflON CHAiSTY # <br /> Holding Temperature : ca,�Qt>=noN <br /> Method : °rodod $Waco <br /> Screening Method : grow <br /> Verified Chain of Custody : ❑ Yes El No ft- <br /> ft. <br /> ft. <br /> SPOILS — <br /> Contamination Noted : ❑ Yes ❑ No -= <br /> If yes, spoils storage Location : storms K' <br /> ys �• <br /> Covered : Yes El No on <br /> �� '^, 71yw pyCS{ <br /> If yes, material : J7 C �� Rrt' ig ` <br /> GROUTING or DESTRUCTION Total Depth : �� ' YIFI=_ <br /> Depth to Water : / � 2e) - —` n• <br /> Grout Material : TV6, bel <br /> MATERIALS/ DEVELOPMENT <br /> Gallons of Grout Used : -- 110 zi <br /> Casing Type : <br /> ❑ Well Installation tell Destruction Blank Feet Screen Feet <br /> ❑ Boring Installation ❑ Slot Size : <br /> Boring Destruction Bags Size : <br /> Cement : <br /> METHOD USED Bags Sand/Gravel : <br /> Type/ Brand of Bentonite : <br /> ❑ Pressure Grout ❑ Over Drill <br /> Filter Pack Type/Size : <br /> ❑ Gravity Afremie ❑ Other: Type of Method : <br /> Water Cement 471b Water Cern ent 941b <br /> allons eall ons Bags <br /> Thickest Thinnest It Bags Thickest Thinnest dBags Bentonite/Cement Milt 3 % Mix 5 % Mix <br /> 2. 5 s 1 s 10 1 Bentonite per 47 Ib 1 .41 2 .47 <br /> s 10 z 10 za z Bentonite per 94 lb 2 . 82 4 . 7 <br /> 7, 5 15 3 15 30 3 <br /> 10 10 4 20 40 4 <br /> 115 25 5 25 s0 5 <br /> 15 30 1 6 30 60 6 <br /> 17. 5 35 1 7 35 70 7 <br /> 20 40 1 8 40 80 8 <br /> 10/ 16/2017 <br /> 1868 E . Hazelton Avenue 1 Stockton , California 95205 1 T 209 468-3420 1 F 209464-0138 www, sicehd . com <br />