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SAN ,JOAOUIN Environmental Health Department <br /> " !fir <br /> --COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> r3/ � r jk t b, t <br /> Date: /D t /£r Inspector: IVX_ z CONSTRUCTION J�tr �3 6 `r�(�ov✓S�[v►1 a�j�h <br /> Facility Address: /ff52- �v. y�sei,,, le'- /��t <br /> Well Address: Total Depth: <br /> WP# Ura 3s'-lcU Well#: Drilling Rig Type: C <br /> Soil Boring#: B/, Z, 3 Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: kro"s Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: G3=ndSud=* ' <br /> Screening Method: or«n <br /> Verified Chain of Custody: ❑ Yes El No �_ft. <br /> n. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: slotted <br /> s*cson <br /> Covered: El Yes El No ZC) = Ix-vwsack <br /> If yes, material: ; <br /> GROUTING or DESTRUCTION Total Depth: Svc <br /> Depth to Water: zd` tt- <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation MBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity %Tremie ❑Other: Type of Method: <br /> fsWater Cement 941b <br /> allons Ba s <br /> Thinnest sBags Thickest Thinnest NBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 204 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 110 <br /> 77, 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />