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SAN''J OA Q U I N Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: -rtldt CONSTRUCTION <br /> Facility Addrs: C& (�fTtu, /�, L{rlrlgmdA�/ <br /> es <br /> Well Address: Total Depth: <br /> WP# OUOIWA Well#: Drilling Rig Type: <br /> Soil Boring#: b2 , o'-A- $ Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: arca GI <br /> Driller Onsite:- CJ"riS Screen Length From: To: <br /> Consultant: WrxAdl QFilter Pack From: To: <br /> Geologist: K cV10i Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes L1 No casing <br /> If yes, location and distance: height <br /> W <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLiON c _ot+�PLEnON <br /> Method: Ground Suri=. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No —ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stotts♦d <br /> asc„on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> 2o�t <br /> GROUTING or DESTRUCTION Total Depth._IrJ Ft I t)(ctp-V b6- . <br /> Depth to Water: - l ft. — tt. <br /> Grout Material: (1c�-AcAr MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installationoring Destruction 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 ❑Tremie ❑Other: Type of Method: <br /> Water kent 471b Water Cement 941b <br /> allons Bas gall ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 55% 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 I 8 40 80 8 <br /> ,v 2k o� LW WAy y t VdA_p AC`A- �;b n(�Q)/ 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton,(California 95205 11 T 209 468-3420 1 F 209 464-0138I www.sacehd.com <br /> 1 <br />