Laserfiche WebLink
SAN J OAQU I N <br /> Environmental Health Departmentartment <br /> COUNTY <br /> Greotness gro ,vs here . <br /> Monitoring Well /Soil Boring Inspection Report <br /> Date : 3 � a3 - 2o�� Inspector : �e&syl CONSTRUCTION <br /> Facility Address : �/9,S'� 40 r# &6 .` .eo <br /> Well Address : Total Depth : <br /> WP # Gb q1 711 Well # : Drilling Rig Type : <br /> Soil Boring# : OtP- u- Min 2 " Annular EHD Seal Verified : ❑ Yes 11 No <br /> Drilling Company : e4at e e <br /> Driller Onsite : ..L�d�' Screen Length From : To : <br /> Filter Pack From : To : <br /> Consultant : /3&S <br /> Geologist : Com, v <br /> Bentonite From : To : <br /> Grout From : To . <br /> Public Water System Onsite : ❑ Yes ❑ No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite : ❑ Yes ❑ No casing <br /> If yes, location and distance : height <br /> SAMPLING AWyE.mGa0Uyo IRV <br /> Holding Temperature : COSON COWLETiiON <br /> Method : C-irvt and Surfxs <br /> Screening Method . grout <br /> Verified Chain of Custody : ❑ Yes ❑ No moment nom <br /> mommosimp He <br /> ft. <br /> SPOILS + _ <br /> r' c <br /> Contamination Noted : ❑ Yes ❑ No ?` _ <br /> If yes , spoils storage Location : <br /> siott� me <br /> ' ';- _— <br /> *= on <br /> =_ <br /> Covered : ❑ Yes ❑ No <br /> gmvsa pad` <br /> If yes , material . _ <br /> GROUTING or DESTRUCTION Total Depth : <br /> Depth to Water : n- <br /> Grout Material : Newt eere�i ee <br /> MATERIALS / DEVELOPMENT <br /> Gallons of Grout Used : ? ,�,fr� Casing Type : <br /> ❑ Well Installation ❑ Well Destruction Blank Feet Screen Feet <br /> Slot Size : <br /> ❑ Boring Installation LAoring Destruction Bags of Cement : <br /> METHOD USED Bags Sand / Gravel : <br /> Type/ Brand of Bentonite : <br /> ❑ Pressure Grout ❑ Over Drill Filter Pack Type/Size : <br /> ❑ Gravity 2Tremie ❑ Other : Type of Method : <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest # Bags Bentonite/Cement Mix 3 % Mix 5 % Mix <br /> 2. 5 5 1 5 10 1 Bentonite per 47 Ib 1 .41 2 .47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2 . 82 4 . 7 <br /> 7, 5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 125 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17, 5 35 7 35 70 7 <br /> 20 1 40 1 8 40 80 8 <br /> 10/ 16 / 2017 <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 I T 209 468 - 3420 I F 209 464 - 0138 1 www . sucehd . com <br />