Laserfiche WebLink
SAN JOAQUIN <br />COUNTY <br />Greatness grows here <br />Environmental Health Department <br />Qo <br />am° <br />Consultant: <br />Geologist: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: C <br />Facility A dress: <br />Well Address: <br />WP# 004 -ZA (0 <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Inspector: <br />4 <br />Well#: <br />Public Water System Onsite: D Yes LINo <br />Domestic Well Onsite: D Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: LI Yes 0No <br />If yes, spoils storage Location: <br />Covered: D Yes ID N o <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: I h--• <br />Depth to Water: C4 . <br />Grout Material: <br />Gallons of Grout Used: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94 I b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest a Bags <br />2.5 5 1 t. 5 10 1 <br />5 10 2 V 10 20 2 <br />7.5 15 3 1/%11, 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 s 25 50 s <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />-C-ONSTRUCTION- <br />Total Depth: 110 (( Drilling Rig Type: 6, <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />casing <br />height <br />ABOVE-GROUND <br />CO MPLET 10 N CHRSTY-BOX <br />COMPLETION <br />COMPLETION 0 Stove Pipe 0Christie Box <br />Ground Surfacs <br />111 <br />grout <br />ft <br />ft <br />-ft <br />stoned <br />arrion <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1 1 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />Veal- cuAL4/\)( <br />'2_5c.ft <br />Eli Well Installation 0Well Destruction <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />0Boring Installation/Boring Destruction <br />METHOD USED <br />El Pressure Grout Over Drill <br />LI Gravity 0Tremie 00ther: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: