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°2 2 SAN ,JOAQUIN Environmental Health Department <br /> • ", —COUNTY <br /> �1-114..IFr/ Greatness grows here. <br /> $q,,V,,, Monitoring Well/Soil Boring Inspection Report <br /> Date: L&( Inspector: S. I'trtj 11 CONSTRUCTION <br /> Facility Address: ?J��Vb S`, cEj DGrad0 <br /> Well Address: Total Depth: <br /> WP#2.0 5Q Well#: 14 —! Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes []No <br /> Driller Onsite: ,p Screen Length From: To: <br /> `/ �.` 1 �&\Filter Pack From: To: <br /> Consultant: �1�1—�r,r�1��'� ��,�tt;�Y��`�`�Ir�'}-��1 � _ ) <br /> Geologist: � ,0\Lk-L 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 nsovE.oaouNo _ <br /> Holding Temperature: COMPLETION ccoomPLEneN <br /> Method: Ground Surface "" <br /> Screening Method: a►«n <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> —ft. <br /> t <br /> ft. t. <br /> SPOILS = <br /> 4 - o <br /> Contamination Noted: ❑ Yes El No — <br /> If yes,spoils storage Location: stood <br /> tec:cn — B <br /> Covered: ❑ Yes ❑No = �� <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: I ht S°c JZo <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation X <br /> Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED ItBags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout/4Over Drill Filter Pack Type/Size: <br /> ❑ Gravity /XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 1, { /� <br /> 4t <br /> 12.5 25 5 25 50 5 F �C, L� 1 "I((('I2 ) I aty) R`) <br /> 15 30 6 30 60 6 6 NZ� � <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 />