Laserfiche WebLink
SANsd0AQUIN <br /> :'(" <br /> ) —COUNTY— Environmental Health Department <br /> 1 <br /> �•Sy °'/ Greatness grows here. <br /> lF�F+ <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1Z I�Z3 Inspector. &—liow CONSTRUCTION <br /> FacllityA dress: 1$360 ('{GV•11MI&J <br /> Well Address: Total Depth: <br /> WP# to Weil#: Drilling Rig Type: <br /> Soil Boring#: hW S Drilling Company: Min 2"Annular EHD Seal Verified: ❑Yes El No <br /> CO1� �t1PJ1uK.. <br /> Driller Onslte: YyaQlpf• Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 15alln. Bentonite From: To: <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: <br /> SAMPLINGpy <br /> GHAf57Y•8GX <br /> Holding Temperature: WKOLEr1GN coMrt.i:rTON <br /> Method: <7cctindswiaca —=— <br /> Screening Method: prat <br /> Verified Chain of Custody: ❑ Yes ❑Noft• <br /> SPOILS —ft. <br /> a ' <br /> Contamination Noted: ❑Yes El No <br /> 0 <br /> If yes,spoils storage Location: '� s <br /> sa eion 8 <br /> Covered: ❑Yes ❑No " Q-vwPack <br /> If yes,material: <br /> GROUTING-or-DESTRUCTION•Total De the--. <br /> Depth to Water: tt 1t <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ^' <br /> -- Casing Type: <br /> ❑Well Installation Doell 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 l Tremie ❑other: Type of Method: <br /> Water cam t471 water cament9411i <br /> vallons ea s gallon Bags <br /> Thickest I Thinnest 645 Thickest I Thinnest ++Bags BentonitelCement Mix 3%Mix 5%Mix <br /> 2s s 1 sI l9 II Bentonite per 47 lb 1.411 2.47 <br /> 1. <br /> s 1 10 a 1 10 20 z Bentonite per 941b 2.82 4.7 <br /> 7.5 15 9 I 1s <br /> 10 20 4 20 q0 4 <br /> 125 25 5 25 50 5 <br /> 3s 90 6 s0 60 6 <br /> 17.5 85 7 as 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E.Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138.1 www.sicohd.com <br />