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SAN JOAQUIN Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: !V') CONSTRUCTION <br /> Facility Address: I Dogz'Jo S'}-, <br /> Well Address: Total Depth: <br /> WP# U 10 I _ We i#: Drilling Rig Type: <br /> Soil Boring#: w Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: I C'L EEC . <br /> Driller Onsite: `Tc Screen Length From: To: <br /> Consultant: �v�y�pv�r�F�V�2 E�'N��dy�W�>,�iz� � Sd(n5, <br /> Filter Pack From: To: <br /> Geologist: J U\�e. Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: 311— <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWP=lON COOMPLEMN <br /> Method: G=nd Surlacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO eft. <br /> R. <br /> R. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: .tones <br /> Covered: ❑ Yes ❑No = g, V4 <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:0 _ <br /> Depth to Water: -- tt• — tt <br /> Grout Material: J' <br /> Gallons of Grout Used: I O0 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation NWell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation LIBoring Destruction Slot Size: <br /> 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 ZTremie ❑Other: Type of Method: <br /> Water ent 471 Water Cement 94lb <br /> m <br /> allons B gallons Bags <br /> Thickest Thinnest s Thickest Thinnest »Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 1 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 z 11bi 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 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 1 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.socehd.com <br />