Laserfiche WebLink
SAN'JOAQUIN Environmei,-al Health Department <br /> —COUNTY— <br /> �P/ Greatness grows here. <br /> Monitori g Well/Soil Boring Inspection Report <br /> Date: l�, \� U`' Inspector: CONSTRUCTION <br /> Facility Address: '` \'DO <br /> Total Depth: <br /> Well Address: �b <br /> P# ���# <br /> Well#: Drilling Rig <br /> W Type: C�t\ <br /> Soil Boring#: — Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: ` A` ` �� Screen Length From: 1d To: <br /> Driller Onsite: �1�� Filter Pack From: To: <br /> Consultant: Bentonite From: \)\9 To: Nei <br /> Geologist: N — Grout From: g_ To:-4", *-L1C-- <br /> Public Water System Onsite: ❑Yes 0�4o COMPLETION Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: �]Yes ❑No casing <br /> I_ height <br /> If yes,location and distance: A C O ,�• <br /> ABoVE.aFICUND CHRMW43OX <br /> SAMPLING ecihPLET1oN COWLETioN <br /> Holding Temperature: Gn mdSudl —F� <br /> Method: grout <br /> Screening Method: A—�tt. <br /> ❑No tt. <br /> Verified Chain of Custody: ❑ Yes <br /> SPOILS = a <br /> P <br /> FE <br /> Contamination Noted: ❑YesINo - <br /> t. <br /> If yes,spoils storage Location:_ <br /> y*cton <br /> Covered: <br /> ❑Yes �kNo = g""at pads <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: �� _ L�it <br /> Depth to Water: b cE >� <br /> Grout Material: ^ MATERIA /DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> Blank Feet Screen Feet <br /> ell installation OWeIIDestruction Slot Size: �l �D <br /> VI❑lBoring Installation 013oring Destruction Bags of Cement: —1 <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> i..�, Type of Method: <br /> El Gravity pilTremie ❑Other: <br /> Water <br /> 1�cement 471b Water cement 941b aligns Ba s aligns Be#Ba s BentonitelCement Mix 3%Mix 5%Mix <br /> Thickest Thinnest #Bags Thickest Thinnest g Bentonite per 41 lb <br /> 1.41 2.47 <br /> 1 5 <br /> 1B lB 1 2.82 4.7 <br /> �'S 5 z 10 20 s Bentonile per 941b <br /> 5 ' <br /> 3 16 30 3 <br /> 16 16 10 4 10 90 4 <br /> 2. 5 <br /> is 1 46 6 30 60 6 <br /> 15 35 70 7 <br /> 17.5 5 40 20 40 B Bo 0 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www Si_cehd comcom <br />