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SAN JOAQUIN Environmental Health Department <br /> ;r COUNTY-- <br /> • <br /> i,rrutness grows here•. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: -� Inspect r: y�� r CONSTRUCTION 211 1 of W�jI C P-7S <br /> Facility Address: I ? Y1J}�jj <br /> Well Address: Total Depth: <br /> WP# 6VWell#: Drilling Rig Type: <br /> Soil Boring#: C r7 2 - CIPT57 Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: C{ <br /> Driller Onsite: T Screen Length From: To: <br /> Consultant: 'l Filter Pack From: To: <br /> Geologist: 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 [I No casing <br /> If yes, location and distance: height <br /> iii <br /> SAMPLING ABOVE-GRCUNp <br /> Holding Temperature: CONVLEnON COMPUTCN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> tt. <br /> tt. <br /> SPOILS w __ <br /> Contamination Noted: ❑ Yes El No = m <br /> If yes, spoils storage Location: .load <br /> a'c:cn <br /> Covered: ❑ Yes ❑No = ¢, <br /> If yes, material: <br /> GROUTING or DEST UCTION Total Depth:_ <br /> Depth to Water: 2E - 2.1ft tt' tt <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout []Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity -?kTremie ❑Other: Type of Method: <br /> Water ement 411) Water Cement 941b <br /> allons Bas allons Bags <br /> Thickest Thinnest :t Bags 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 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 5 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 35 70 7 <br /> 20 1 40 8 40 80 8 <br /> r) b�/ S tax C Fq 10/16/2017 <br /> 1868 E. Hazelton Ave�n�ue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sgcehd.com <br />