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SAN.JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> l.� Q Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 I(�/l Inspector: �� 054` _CONSTRUCTION <br /> Facility Address: C r: <br /> Well Address: Total Depth: l� <br /> WP# 03 s O Well#: Drilling Rig Type: <br /> Soil Boring#: 0 <br /> Drilling Company: IL ar Ch Min 2"Annular EHD Seal Verified: 11 Yes 0 N <br /> Driller Onsite: '�� II Screen Length From: To: <br /> Consultant: h r: '501 <br /> o (4� 'onS 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 ABOVE-GROUND <br /> Holding Temperature: COMPLETION CCOMPLET1ON <br /> Method: G=ndSurf'" <br /> Screening Method: o.an <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> h. <br /> SPOILS = <br /> r = - e <br /> Contamination Noted: ❑ Yes E]No = <br /> If yes, spoils storage Location: sbrced _ 3 <br /> **coon -r> <br /> Covered: ❑ Yes ❑No = gr- ,w P-* <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 15 W _ IF_ <br /> Depth to Water: 12 T4. n tt' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Sorin Installation Slot Size: <br /> g Boring 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 gTremie ❑Other: Type of Method: <br /> Water Ceme 4710 Water Cemen 841b <br /> allons Ba y gall ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 1 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 V25 <br /> 3 15 30 3 <br /> 10 4 20 40 4 <br /> 12.5 5 25 50 5 <br /> 6 30 60 6 <br /> 7 35 70 7 <br /> 8 40 80 8 <br /> 6; 5-o�.� Q• S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.s6cehd.com <br />