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r SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> ' MonitoringWe)llll/Soil Boring Inspection Report <br /> Date: t Q//Q Inspector: i 96SCONSTRUCTION <br /> Facility Address: 4� �h0, <br /> Well Address: Total Depth: <br /> WP# 00 '3 Well#: Drilling Rig Type: <br /> Soil Boring#: 6q Min 2" Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: �-Te--✓ACo fg <br /> Driller Onsite: "55--e Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING A WVE-GROUND <br /> Holding Temperature: CONFLETION CC*AR EnoN <br /> Method: around Sumacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> tt. <br /> SPOILS _ <br /> �A � a <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: atoned = 2 <br /> asc9on <br /> Covered: ❑ Yes []No =' <br /> If yes, material: <br /> rr <br /> GROUTING or DESTRUCTION Total Depth: I5 4 SD t� . <br /> Depth to Water: - = n. <br /> Grout Material: UZ—j� CPAMeft <br /> Gallons of Grout Used: R S j u-1 g q04 MATERIALS/DEVELOPMENT <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 /> CS Gravity MTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gall s Bas gallons Bags <br /> Thickest Thinnest pBags Thickest Thinnest 4Bags 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 /> 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 /> 2-0904 16 b o4SS 10/16/2017 <br /> . <br /> 50 Al i 3 V°9 <br /> 1868 Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.socehd.com <br />