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SAN=.IOAQUIN Environmental Health Department <br /> COUNTY---- <br /> i ifPJr 1.55 '110,,,5 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address: 7- N &1744to S1a*N�4 <br /> Well Address: Total Depth: <br /> WP# OQ �q Well#: Drilling Rig Type: <br /> Soil Boring#: G 1 7' Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: <br /> Driller Onsite: �U Skv r�-� �I V rr1AA1 Screen Length From: To: <br /> Consultant: U1l VCA^, Filter Pack From: To: <br /> Geologist:Ckay 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 casing <br /> If yes, location and distance: 37 <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION CCoMPLEnoN <br /> Method: Ground Surfaces <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �_ft. <br /> n. <br /> tt. <br /> SPOILS = <br /> = e <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: slotted <br /> s*c•,ion <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:C P7 St,-cep _ <br /> Depth to Water. X lio R-11 - So-' -t <br /> Grout Material: NQAt Ywly-lr MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity . *remie ❑Other: Type of Method: <br /> Water ement 471b Water Cement 94 lb <br /> allons Basallons Bags <br /> Thickest Thinnest i B gs Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 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 /> T <br /> 12.5 25 5 25 50 5 I .� 7 b�S ( I . �' • l L ��1 1 n <br /> 15 30 6 30 60 6 C� t vl IJ,7 J 1 l V <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 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.secehd.com <br />