Laserfiche WebLink
SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> Greutness grows Isere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 101 0-14 Inspector: (.;r-1 L CONSTRUCTION <br /> Facility Address: JG of Tu rv�D� <br /> Well Address: _ Total Depth: <br /> WP# 4:1.�1� Well#: Drilling Rig Type: <br /> Soil Boring#: Ia � (6)e- L T Min 2"Annular EHD Seal Verified: El Yes El No <br /> U <br /> Drilling Company: <br /> Driller Onsite: 1 Screen Length From: To: <br /> Consultant: X Irt "-w L Filter Pack From: To: <br /> Geologist: 1�-v rtiv,, <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GRCUND C�HR__ <br /> Holding Temperature: 1�� i � 00WFLET{ON COMPLE ON <br /> Method: V �A <br /> Ground surface. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No n' <br /> ft. <br /> ft. <br /> SPOILS <br /> v4 C <br /> Contamination Noted: ❑ Yes El No = <br /> If yes, spoils storage Location: alonad <br /> a�aion <br /> Covered: ❑ Yes ❑No = „*I Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: (o`� �(,"uLw�1+y�� tt• n' <br /> Grout Material: -t MAV* MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation Destruction Slot Size: <br /> tZaBags of Cement: <br /> METHOD USED L h Bags Sand/Gravel: <br /> _ Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill c- Filter Pack Type/Size: <br /> ❑ Gravity VdTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thick" Thinnest It s Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> .s 5 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 /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s*cehd.com <br />