Laserfiche WebLink
e <br /> SANJOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Sgr,r�ae,`P' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /( ✓ Ins Z <br /> or: SAS3Xt l CONSTRUCTION <br /> Facility Address: o 5yY rja-1 , ye, S-�CKta'� <br /> Well Addre [�: Total Depth: yy ,/ t <br /> WP# 00q 57Well#: Drilling Rig <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes 0 N <br /> Drilling Company:_ -6 <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: _ Filter Pack From: To: <br /> Geologist: — Bentonite From: To: <br /> Grout From: III, To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: �T <br /> height <br /> —CrT <br /> SAMPLING ABOVE-GROU to <br /> Holding Temperature: COt"P�T1ON c TON <br /> Method: [;round Surfabcs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> tt_ <br /> ft. <br /> SPOILS ; <br /> . <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: = <br /> saotion <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: !/a-� <br /> Depth to Water: fL — n• <br /> Grout Material: �VJ 6 bZ'11tv-11 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:^- I Z S �A(�vS <br /> -� Casing Type: <br /> -IMell Installation []Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity i ><emie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> --gallons Bas Rall ons Bags <br /> Thickest Thinnest HBags Thickest Thinnest #Bags BentonitefCement Mix 3% Mix 50% Mix <br /> 2.5 5 -..__- 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 z 10 20 2 Bentonite per 94 Ib 2.62 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 I T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />