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SAN MAQUIN Environmental Health Department <br /> —COUNTY— <br /> °'' Greatness grows here. <br /> n 1 Monitoring Well/Soil Boring Inspection Report <br /> Date: L -` Ins pe tor;SU K Y{�(��C CONSTRUCTION <br /> Facility Address: ; Z q LAq W hOla;�e <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: KI 2 <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: _ uI� V Screen Length From: To: <br /> Consultant: (C'YYv1C Filter Pack From: To: <br /> Geologist: K-()VWJI(.t 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 <br /> casing <br /> If yes, location and distance: height <br /> WT <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: CowLETjON cOr�LEnoN <br /> Method: caro ndSuiace <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes ❑No —ft <br /> ft. <br /> SPOILS 3 <br /> — o <br /> Contamination Noted: ❑ Yes ❑No ` <br /> If yes,spoils storage Location: stot�d <br /> Covered: ElYes ❑Noy <br /> If yes, material: <br /> � = .. <br /> GROUTING or DESTRUCTION Total Depth: 4— <br /> Depth to Water: tt- <br /> Grout Material: Ned vaMATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation"1413Slot Size: <br /> oring Destruction Bags Size: <br /> 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 Cement 471b Water Cement 941b <br /> allons Bags Rall ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentoniteXement Mix 3% MIX 3% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 155 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 _ <br /> 20 1 40 8 40 80 8 h ®, "'�` ? (y,` (�h�/l J� <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209468-34201 F 209464-0138 I www.slcehd.com <br />