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r <br /> • ' SAN JOAQUIN <br /> Environmental Health Department <br /> — <br /> COUNTY--- <br /> Greatness grows here- <br /> / l <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspe�qor: W / CONSTRUCTION <br /> Facility Address: � yl <br /> Ak -y err° t,af�pw <br /> Well Address: Total Depth: ' I <br /> WP# O Well#: Drilling Rig Type: <br /> Soil Boring#: o <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> T' Filter <br /> Screen Length From: To: <br /> Driller Onsite: ./�Consultant: cx ZAi►�l Pack From: To: <br /> Geologist: �/ Bentonite From: To: <br /> 3 1 Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No a COMPLETION El Stove Pipe ❑Christie Box <br /> 0+ 2 <br /> Domestic Well Onsite: ❑ Yes ❑No 0S <br /> casing <br /> If yes, location and distance: ,/ .8� +� height <br /> SAMPLING ZD ABOVE-GROUND 0HR*TY-8OX <br /> Holding Temperature: y ,O r COMP=;ON COMP=ON <br /> Method: Ground surface <br /> Screening Method: ofIOut <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ONO = s <br /> If yes, spoils storage Location: <br /> a 'on _ <br /> Covered: ❑ Yes ❑No = 9, <br /> I�pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 2 <br /> Depth to Water: <br /> Grout Material: ��d Com. 2 �� 5 <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation ring 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 *emie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b O IL� <br /> allons Bas allons Bas ' \ �J� <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 IbIl 2.82 4.7 <br /> 7.5 15 1 3 15 30 1 3 <br /> 10 20 4k 20 40 4 <br /> 12.5 25 5 25 So 5 <br /> 15 30 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 Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />