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° cSAN_J OAQ U I N Environmental Health Department <br /> " i —COUNTY--- <br /> 4 Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3/i.o.? Inspector: Al�e-A" CONSTRUCTION 3'%2' <br /> /4) <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# eX,>3f'T? Well#: Drilling Rig Type: <br /> Soil Boring#: BS Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite:.lxiw` Screen Length From: To: <br /> Consultant: K �:�f4t/ EV Filter Pack From: To: <br /> 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 ABOVE-GROUND <br /> Holding Temperature: OWPLEMN COMPLEMN <br /> t <br /> Method: Gmnd SLwf=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No y--n' <br /> tt. <br /> tt. <br /> SPOILS = <br /> = o <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: .totted <br /> aeon �• — <br /> Covered: ❑ Yes El No _ g-vw <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 30% • <br /> Depth to Water: Np C <br /> —ft. <br /> Grout Material: N!Nkf C Pr► e+yE <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation kBoring 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 ❑Tremie ®Other: 66'-4W Type of Method: <br /> at m nt 71b Water Cement 941b <br /> ns s Q8110 ns Bags <br /> Thickest Thinnest aBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3%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 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 1 40 80 8 <br /> t�O 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />