Laserfiche WebLink
I Is <br /> SAN �IOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> _ r <br /> C; reotn _ ss gra ;vs 'mere . <br /> Monitoring Well /Soil Boring Inspection Report <br /> Date : f �� / 2 � Inspector : S � J 6 CONSTRUCTION <br /> Facility Address : Z1 Ali J II SGS <br /> Well Address : Total Depth : <br /> WP# go L � y Well # : � Drilling Rig Type : <br /> Soil Boring# . S 13 7< ) 3 S y X y Min 2" Annular EHD Seal Verified : ❑ Yes El No <br /> Drilling Company : <br /> Driller Onsite : Screen Length From : To . <br /> Consultant : Filter Pack From : To : <br /> Geologist : V j 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 ASOySGROUNp <br /> Holding Temperature : GOwLETiON COMFLEQ <br /> Method : GroUna Sufis <br /> Screening Method : �r«� <br /> Verified Chain of Custody : ❑ Yes ❑ No - <br /> f�_ <br /> SPOILS <br /> Contamination Noted : ❑ Yes 11 No <br /> If yes, spoils storage Location : <br /> Covered : ElYes ElNo soon ` <br /> If yes, material : <br /> GROUTING or DESTRUCTION Total Depth : 30f/ r' <br /> Depth to Water : i. l� -------,ft- - <br /> Grout Material : MATERIALS / DEVELOPMENT <br /> Gallons of Grout Used : <br /> Casing Type : <br /> ❑ Well Installation ❑ Well Destruction Blank Feet Screen Feet <br /> Slot Size : <br /> ❑ Boring Installation JABoring Destruction Bags of Cement : <br /> METHOD USED Bags Sand/Gravel : <br /> ❑ Pressure Grout ❑ Over Drill Type/ Brand of Bentonite : <br /> Filter Pack Type/Size : <br /> U. Gravity ❑ Tremie ❑ Other : Type of Method : <br /> Water Cement 471b Water Cement 941b <br /> allons Bas igall ons Bags <br /> Thickest Thinnest # Bags Thickest Thinnest Bags Bentonite/Cement Mix 3 % Mix Sada MIX <br /> 2. 5 5 1 5 10 1 Bentonite per 47 Ib 1 .4 '1 2 .47 <br /> s 10 z 10 20 2 Bentonite per 94 Ib 2 . 82 4 . 7 <br /> 745 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 Stockton , California 95205 T 209 468-3420 F 209 464- 0138 www . sicehd . com <br />