Laserfiche WebLink
Ap` "�'\ SAN�JOAQUIN <br /> .S p Environmental Health Department <br /> I . 9�) —COUNTY— p <br /> Fy4 � t Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Datejo-A6[n Inspect-or:or: i Iq CONSTRUCTION <br /> FacllityAddress; ?IN. <br /> Well Address: Total Depth: <br /> WP#_ft ,} Well#: Drilling Rig Type: <br /> Soil Boring#: Z - Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: G m+1l0 + <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Step"A "Lt e Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes []No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑Yes ❑No Casing <br /> If yes,location and distance: height •' <br /> SAMPLING rsovGnrwNa <br /> CEiriIS7Y•60X <br /> Holding Temperature: cow j.ErIC)N cgy>�ioN <br /> Method: c4 o ina$vrxa —^-^—. <br /> Screening Method: eroo{ <br /> Verified Chain of Custody: ❑Yes ❑Noft. <br /> SPOILS _ <br /> •�. TJ o <br /> Contamination Noted: ❑Yes ❑No o <br /> If yes,spoils storage Location: ab _q <br /> Covered: ❑Yes []Noattdon <br /> `.,.� prawtpadc <br /> If yes,material: ' <br /> GROUTING.or-DESTRUCTION. <br /> �Total Depth:---� I... <br /> No t oft- <br /> Depth to Water: <br /> Grout Material: NPA± COMO& MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 45 — 3S3710 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation goring Destruction Slot Size:Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Clover Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Wravity ❑Tre ie ❑Other: Type of Method: <br /> Water ment471b Water Cement 941b <br /> allons Ba s Rallons 8805 <br /> 7111 <br /> 1 <br /> 1 <br /> est Thinnest -rwast Thinnest #Bags 1BentoniteXe m e nt Mix 3% Mlx 5% Mix <br /> 2s s 1 s is 1 Bentonite per47lb 1.4 2.47 <br /> 5 10 2 10 20 z Bentonite er 94lb 2.82 4.' <br /> 7.5 15 8 SS 30 8 , , <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 2S 50 5 <br /> is 80 6 30 60 6 <br /> 17.5 95 7 35 70 7 <br /> 20 40 8 40 80 e ' <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.sicohd.com <br />