Laserfiche WebLink
'��'° SAN��J0A0UIN <br /> Environmental Health Department <br /> OiL —COUNTY <br /> Greotness grows hen., <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspect r: CONSTRUCTION <br /> Facility Address: • e' <br /> Well Address: Total Depth: <br /> WP# Qy2!!5/ Z� Well#: V-2y4010 041 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: �v V 1�L(, Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Driller Onsite: � Screen Length From: To: <br /> Consultant: eos Filter Pack From: To: <br /> Geologist: q Bentonite From: To: <br /> Grout From: 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: W— T <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLEUDN COMPLETION <br /> Method: Ground Surface <br /> Screening Method: P, grout <br /> Verified Chain of Custody: ❑ Yes ❑No -�--n' <br /> ft. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: <br /> s�cdon ra '— <br /> Covered: ❑ Yes ❑No <br /> If yes, material: Ej <br /> ? <br /> GROUTING or DESTRUCTION Total Depth: Z-O,i r -: <br /> Depth to Water: •_47 n n' <br /> Grout Material: /I <br /> Gallons of Grout Used: er ��, MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ,Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring 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 /> ❑ Gravity f$Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> WWI Bags vallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags Bentonite/Cement 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 952051 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />