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2 <br /> SAN_ OAQUIN Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3171/ Inspector: M9,141Er• CONSTRUCTION ,ryJr� f'14! <br /> Facility Address: /f;!�y .;F9 <br /> Well Address: Total Depth: <br /> wP# oo3937q Well#: Drilling Rig Type: <br /> Soil Boring#: 93 <br /> Drilling Company: !)r,-,6e r Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: WX6-- Filter Pack From: To: <br /> Geologist:_,19-0-r4/orBentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLEMN COMPLETION <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> tt. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: .totted <br /> sic on <br /> Covered: ❑ Yes ❑No = t <br /> ack <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: 0) <br /> Depth to Water: 31.5" n n' <br /> Grout Material: AJesA'111'rs_1( <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation XBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravit CXTremie ❑Other: Type of Method: <br /> WatertBaa-�� <br /> ent 471b Water Cement 941b <br /> allons allons Bags <br /> T14.cke,.I,,' Thinnest IfBags Thickest Thinnest If 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 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 11.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 1 35 70 7 <br /> 20 40 8 1 40 80 8 <br /> Y7 /1 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />