Laserfiche WebLink
;t <br /> SANJ0AQUIN Environmental Health Department <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:j 4,1Unspector: CONSTRUCTION <br /> Facility Address: 12A 00-L's H, go <br /> Well Address: sas tAo-1 L f*x Pil�"5 (To al'Depth:2� 5 <br /> WP# b '� We IA VM 'O1 Drilling Rig Type: <br /> Soil Boring#: ti Fl Min 2"Annular EHD Seal Verified: Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: .� � (�, Screen Length From: To:� <br /> Consultant: 5vll�f .L Filter Pack From: L'� To: l <br /> Geologist: ��s1 Bentonite From: To: <br /> Grout From: To:�_ <br /> Public Water System Onsite: ❑ Yes dNo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes VNo casing <br /> If yes, location and distance: height <br /> SAMPLING AWVE•GROUND <br /> Holding Temperature: C'AmPL1=7)ON caWLi&ON <br /> Method: C mdod Surfacs <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑Noft• <br /> \� ft. n. <br /> SPOILS <br /> x� . <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> *Ion" _= <br /> sac.on <br /> Covered: ❑ Yes ❑No > <br /> ack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 'l, --=�� — • <br /> Grout Material: Nc�t (- <br /> Gallons of Grout Used: % MATERIALS/DEVELOPMENT <br /> Casing Type: IVY "L�w <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> • p�. <br /> ❑Boring Installation ❑ Slot Size: \1 <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pacl<Type/Size: LiLM5�& VAAVS lors <br /> ❑ Gravity &remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest #Bags BentonitelCement Mix 3% Mix 5% Mix <br /> 2.5 s 1 5 10 1 Bentonite per 47 1b 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7,5 15 3 15 30 3 <br /> 10 20 40 4 <br /> 12.5 2 25 50 5 <br /> 15 0 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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />