Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Il Date: !-Z Inspector: ">tb0*' CONSTRUCTION <br /> Facility Addres . gONr] !( P--e +oQ I <br /> Well Address: Total Depth: V) <br /> WP#00 7-$<OP 202- Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: Yes ❑No <br /> Drilling Company:Pevv-ccet 1 1 <br /> Driller Onsite: Screen Length From: T To: 0 <br /> Consultant: (-vt2$yi G Filter Pack From: To: <br /> Geologist: Bentonite From: To: �a <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: � height <br /> SAMPLING ABOVE-GROUND <br /> ClIAtSTY-eOx <br /> Holding Temperature: COWLETiON COMPLETION <br /> Method: Ground Sulac9 -- <br /> Screening Method: orart <br /> Verified Chain of Custody: ❑ Yes ❑No —n <br /> / ) <br /> SPOILS ky <br /> o ' <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: <br /> cartoMcraen _bl B <br /> Covered: ❑Yes ❑No - -w <br /> If yes, material: 7 -_ <br /> GROUTING or DESTRUCTION Total Depth: e = z6 <br /> Depth to Water: <br /> Grout Material:Gallons of Grout Used: MATERIALS DE ELO <br /> Casing Type: l/6 S 220 <br /> VWell Installation ❑Well Destruction Blank�Feet Screen to Feet <br /> ❑BBoring Installation ❑Boring Destruction Slot Size: r0 <br /> Bags of Cement: 16- �l <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: "! t1 <br /> Filter Pack Type/Size: 1iZIZ <br /> ElGravity ❑Tremie ❑Other: Type of Method: Pt/ <br /> Water Cement 471b Water cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest If Bags Thickest Thinnest ueags BentonitelCement Mix 3% Mix 5% Mix <br /> 2.5 s 10 1 Bentonite per 47 lb 1 1.41 2.47 <br /> 5 10 2 10 20 2 1 Bentonite per 94lb 1 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 /> 1s 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 00 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.sacehd.com <br />