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SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> C, <br /> Greatness grows here. <br /> l� Q MonitoringdWell/Soil Boring Inspection Report <br /> Date: ` I r I Inspector: \ 0-,r;a CONSTRUCTION <br /> Facility Address: 42.5 r <br /> Well Address: Total Depth: HSA <br /> �,I <br /> WP# s Well#: Drilling Rig Type:H J A y i IN r W� <br /> Soil Boring#: IR 2 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: C-.-1.' ;0. 6 eo Lh <br /> Driller Onsite: �� Screen Length From: To: <br /> Consultant: e 0 ^ Vl ii'l�Y'iOhJ Filter Pack From: To: <br /> Geologist: t 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 1:1 No casing <br /> If yes, location and distance: height <br /> —CWT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLETION CCCMPLEnON <br /> Method: Ground Surface'+ <br /> Screening Method: or«n <br /> Verified Chain of Custody: ❑ Yes El No I—n' <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted <br /> aKJon ;p <br /> Covered: ❑ Yes ❑No =3 =_ <br /> — pnwl pack <br /> If yes, material: !1 r1 <br /> GROUTING or DESTRUCTION 1Total Depth: 157R� " I :4• <br /> IF <br /> Depth to Water: "1 � <br /> Grout Material: <br /> . A&4--� f' ­­Zr; <br /> Gallons of Grout Used: o„I MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation MBoring 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 TATremie ']Other: T YQ1Li'Ot-I) Type of Method: <br /> 01-1 <br /> Water Cement 71b Water Cement 941b <br /> allons Bas allons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags 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 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 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 /> 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 />