FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

pouiry o'\ SARDJOAQUIN�l Environmental Health Department Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date:\\ Lg1.6 Inspector: CONSTRUCTION Facility Address: `50\0 N C.� Well Address: `�L�'��N�4A oVt kl--- _ Total Depth: WP# Well#: V\�N)tj\- '4-• Drilling Rig Type: Soil Boring / M�t�"->_ „ Drilling Company:• C�t�F�-"`� - N.�M 3 Min 2 Annular EHD Seal Verified: El Yes ❑No Driller Onsite: _ t!. f,K N\ Screen Length From: To: Consultant: Filter Pack From: To: Geologist: k.N TIN ty tm? Bentonite From: To: Grout From: To: Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑Yes ❑No casing If yes, location and distance: height: SAMPLING As VS6Rouxa Holding Temperature: cowl TIon crx+ s 'OON Method Screening Method: Kraut Verified Chain of Custody: ❑Yes ❑Noft• ft. SPOILS Contamination Noted: ❑Yes ❑No r o If yes,spoils storage Location: ttottad z Caton Covered: ❑Yes ❑No . If yes, material: GROUTING or DESTRUCTION Total Depth: Depth to Water' \� L Grout Material: N Gallons of Grout Used: \ •q MATERIALS/DEVELOPMENT Casing Type: []Well Installation Xeli Destruction Blank Feet Screen Feet Slot Size: ❑Boring Installation ❑Boring Destruction Bags of Cement: METHOD USED Bags Sand/Gravel: �ressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: ❑ Gravity ❑Tremie ❑Other: Type of Method: Water Cement 471b Water Cement 941b Ilons Bags Rallons Bags Thickest ThjPnpest #Bags Thickest Thinnest 48ags Sentonite/Cement Mix 3%Mix S%Mix 2.5 5 1 5 10 1 Bentonite per 471b 1.41 2,47 5 10 10 20 2 Bentonite per SA.lb 2.62 4.7 7.5 15 a 15 a0 a i i i i i 10 20 4 20 40 4 12.5 25 5 25 50 5 15 a0 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 1 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton, California 95206 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com