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SAN=I J OAQ U I N Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: y��s��1 Inspector: Mid",P­ CONSTRUCTION <br /> Facility Address: 23737 S• I-e cA Zai kd <br /> Well Address: Total Depth: <br /> WP# 003/`2 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: �ir4K Screen Length From: To: <br /> �1PF <br /> Filter Pack From: To: <br /> Consultant: <br /> Geologist: /4-440,ft Bentonite From: To: <br /> iv 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: 111 <br /> height <br /> SAMPLING ABOVE-GROUND _ <br /> Holding Temperature: CONFLETION COMPLETION <br /> Method: Ground Surface <br /> Screening Method: Mll grout <br /> Verified Chain of Custody: ❑ Yes ❑No �tt' <br /> tt. <br /> ft. <br /> SPOILS y <br /> Contamination Noted: ❑ Yes ❑No <br /> C <br /> If yes, spoils storage Location: slotted <br /> .on <br /> Covered: ❑ Yes ❑No _ = gr, <br /> vol pack <br /> If yes, material: '` <br /> GROUTING or DESTRUCTION Total Depth: `'/O� <br /> Depth to Water: zG ' tt• — tt. <br /> Grout Material: Amw*l lam^'« <br /> 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 XBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> er Ce Ib water Cement 941b <br /> onsgallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest ttBags 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 5c& s� �IS <br /> 15 30 6 30 60 6 / '� <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> �b 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.s'cehd.com <br />