SR2601922 - Laserfiche WebLink

Home Browse Search

SAN JUAQUIN Environmental Health Department COUNTY 1 JG�.6• i "`•crroarr Greatness grows here. ^ � �, `^ Monitoring Well/Soil Boring Inspection Report Date:.15) � I`- Spector: CONSTRUCTION Facility Address: J( p�, ` � Lp� Q� Well Address: Total Depth: WP# \Ov1 io �-� �—Well#: Drilling Rig Type: Soil Boring#: � �lZ- S�j Min 2" Annular EHD Seal Verified: ❑ Yes ❑No Drilling Company: .i C N k,F_� r nrt (p.A Z(-Z�-6- ( �S Driller Onsite: �-`i �� Screen Len h rom: To: Consultant: Filter Pack From: To: Geologist: J�,� ��M.��l Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: height SAMPLING AMIVE-GROUND Holding Temperature: COWFLETION CCMP�LPnoN Method: C=nd Surf=* Screening Method: grout Verified Chain of Custody: ❑ Yes El No �--ft- ft. ft. SPOILS x� — `>K = a Contamination Noted: ❑ Yes ❑No = If yes, spoils storage Location: slotted a+c.on Covered: ❑ Yes ❑No _ g-vlw Pack If yes, material: fix; GROUTING or DESTRUCTION Total Depth:_ Depth to Water: p`h Grout Material: Gallons of Grout Used: .n lZ c MATERIALS/DEVELOPMENT Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑ Slot Size: Boring Installation Boring Destruction Bags Size: Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: Filter Pack Type/Size: LJ Gravity ❑Tremie ❑Other: Type of Method: Water Cement 47lb Water Cement 941b gallons Bags gallons Bags Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% MIX 5% MIX 2.5 s 1 5 10 1 Bentonite per 47 lb 1.41 2.47 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 7.5 15 3 15 30 1 3 10 20 4 20 40 4 12.5 25 5 25 5o 5 15 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehcl.com