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SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greotness grows here. <br /> G� Monitoring Well/Soil Boring Inspection Report <br /> Date: t Z Inspector: l hGt. CONSTRUCTION <br /> Facility Address: y6f,91160 a. <br /> Well Address: Total Depth: <br /> WP# W P ZSC711 Q(3 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: E � F C I i0k1 <br /> Driller Onsite: �j Screen Length From: To: <br /> Consultant: Y%{'}V i_%jLt fA Vi f 0 ri, Filter Pack From: To: <br /> Geologist: e 69e`ntonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> —Emr-±4� <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION C�tFr ON <br /> Method: Ground Surfacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: siottQd <br /> • tac�on - — � <br /> Covered: ❑ Yes El No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n IF <br /> n' <br /> Grout Material: Q(xk MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: cis r:�dAA <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity F[Tremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 94lb <br /> gall Bags gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest kBags 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 i 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 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 www.s'cehd.com <br />