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SAN .JOAQUIN <br /> Environmen Health Department <br /> COUNTY— <br /> Monitoring <br /> OUNTY—Monitoring Well/Soil Boring Inspection Report <br /> Date:2 Lsv At Inspector: CONSTRUCTION <br /> Facility Address:0;? c' U Lo" e &A, <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: NoR-,s iN Q 5� NLi-P 4*4-74 <br /> N,q'e2 Min 2"Annular EHD Seal Verified: El Yes 0 N <br /> Drilling Company: 1� bn O <br /> Driller Onsite: iii �1�,�.� Screen Length From: To: <br /> Consultant: �C �, .XL Filter Pack From: To: <br /> Geologist: � -�, rr'v Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING <br /> AWVS4aROU ID <br /> Holding Temperature: Co&FLFrION c.�A s7Y8oX <br /> COMPLE riON <br /> Method: t3=nd Sumac. <br /> Screening Method: p� <br /> Verified Chain of Custody: ❑ Yes ❑Nott• <br /> tt. <br /> SPOILS <br /> �ft" <br /> Contamination Noted: ❑ Yes ❑No = " <br /> If yes,spoils storage Location: stottQd ;' <br /> Covered: ElYes ❑Noon k <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:2$Ar <br /> Depth to Water: isca - — X <br /> Grout Material: n <br /> Gallons of Grout Used: (p „�ow� , w. MATERIALS/DEVELOPMENT <br /> �� Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas amill ons Bags <br /> N Thickest Thinnest ii Bags Thickest Thinnest 4Bags Bentonite/Gement 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 /> 715 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 /> 10 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 'T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />