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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> �SvL F ?y' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: ox V-c " CONSTRUCTION <br /> Facility Addre s: Iq1 ;o a cr U A _S Gk{-cyl- <br /> Well Address: Total Depth: <br /> WP# 2 C Well#: Drilling Rig Type: <br /> Soil Boring#: CP-T— Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: '( G t Screen Length From: To: <br /> Driller Onsite:�U S +Ili <br /> Consultant: Y1 1elIct"liq Filter Pack From: To: <br /> Geologist: be,VW 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 AWVE-GROUND <br /> Holding Temperature: COWLErION COMPLEMN <br /> Method: Ground Suiiaca <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �---n' <br /> ft. <br /> SPOILS - <br /> ft. <br /> Contamination Noted: El Yes ❑No = — <br /> If yes,spoils storage Location: <br /> stoned <br /> Bacon <br /> Covered: ❑ Yes ❑No <br /> If yes, material: . <br /> GROUTING or DESTRUCTION Total Depth: . =_ <br /> Depth to Water: n• it- <br /> GroutMaterial: 140t �VYIk� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout []Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity tTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas lRall ons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 3% 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 /> 15 25 5 25 50 5 <br /> 15 30 6 30 60 6 lj P T 3 h('AA C. `i/ <br /> 17.5 35 7 35 70 7 v <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.s'cehd.com <br />