Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> —COUNTY- - <br /> Grentness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:. -�_I-ZSJ-24 Inspector: 511,naA CONSTRUCTION <br /> Facility Address: P4, <br /> Well Address: Total Depth: <br /> WP# ?A&DDt% Well#:_PLIA2 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: J <br /> Driller Onsite: [Ahr Screen Length From: To: <br /> Consultant: F krpi h� Filter Pack From: To: <br /> Geologist: 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 —y casing <br /> If yes, location and distance: I__Er height <br /> SAMPLING ABOVE•caDUND <br /> CONPLETION COMPLETJON <br /> Holding Temperature: con4atET1oN <br /> Method: mound sulacv 7 <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ❑No —n• <br /> n. <br /> SPOILS # _ <br /> Contamination Noted: ❑ Yes ❑No = o <br /> If yes,spoils storage Location: <br /> dat od = B <br /> ad <br /> Covered: ❑ Yes ❑ r on <br /> No <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: �I <br /> Depth to Water: tt• — tt• <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation $Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> 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 ❑Tremie ❑Other: Type of Method: <br /> Water ent47 I Water cement 941b <br /> allons Ba s eallons Bags <br /> Thd:est Thinnest Thldtest I Thinnest 9Bags Bentonite/Cement Mix 3% MIX 5%MIX <br /> 2.5 5 1 5 i0 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94lb 2.621 4.7 <br /> 7.5 15 3 15 30 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> Us 35 7 35 70 1 7 <br /> 20 40 8 40 80 1 8 <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.s'cehd.com <br />