Laserfiche WebLink
�_�-�°2 SAN JOAQUIN <br /> (SF Environmental Health Department <br /> lb — COUNTY-- <br /> Greatness grows 1- <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: VV/rY� CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP#ZlQ 0 Well#: 4 Drilling Rig Type: <br /> Soil Boring#: <br /> p l Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: ° VI <br /> Driller Onsite: QIU 00 U V Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION cCCUPLElFnoN <br /> Method: Ground Surfacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> f <br /> tt. t. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: ■bane <br /> sacdon <br /> Covered: ❑ Yes []No <br /> = �� <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> ti f ft. I F = ft. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: EYV Casing Type: <br /> ❑Well Installation Well Destruction hrloVI*(fillri�y Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> El Pressure Groutver Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ITremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags pallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest ✓✓Bags BentonitelGement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 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 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />