Laserfiche WebLink
SAN JOAQUIN <br />COU NTY--- <br />Greatness grows here <br />Environmental Health Department <br />Monitoring Well/ )oil Boring Inspection Report <br />Date: 'I 1 <br />Facility Address: <br />Well Address. <br />WP# QCT jjq Well#. <br />Soil Boring#. <br />Drilling Company. <br />Driller Onsite: <br />��— <br />Consultant: <br />Geologist: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method. <br />Screening Method. <br />Verified Chain of Custody: El Yes El No <br />SPOILS <br />Contamination Noted: ❑Yes ❑ No <br />If yes, spoils storage Location: <br />Covered: ❑Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth <br />Depth to Water: <br />Grout Material: ,�r'�� vPot <br />Gallons of Grout Used. <br />stc�tt�d^ <br />140V <br />P( <br />Well Installation ❑Well Destruction <br />]Boring <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length From: To: <br />Filter Pack From: To. <br />Bentonite From: To. <br />Grout From: To. <br />COMPLETION <br />❑ Stove Pipe ❑Christie Box <br />Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Dril <br />❑ Gravity <br />X1 <br />remie <br />❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />5% Mix <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />#Bags <br />4.7 <br />Thickest <br />Thinnest <br />#Bas <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />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 <br />30 <br />6 <br />30 <br />60 <br />6 <br />35 <br />70 <br />7 <br />17.5 <br />35 <br />7 <br />1 40 <br />80 <br />1 8 <br />20 <br />40 <br />8 <br />1868 E. Hazelton Avenue <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 <br />ft. <br />Feet <br />BentonitefGement Mix <br />3°�° Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />V• <br />N <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 <br />ft. <br />Feet <br />BentonitefGement Mix <br />3°�° Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />6w v� �� j, �Q '� �L <br />, �,L 10/16/2017 <br />Stockton, California 95205 T 209 468-3420 1 F 209464-0138 1 www.s*cehd.com <br />