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SAN OAQUOAQUIN r <br /> Environmer -A Health Department <br /> —COUNTY— <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 4/0Inspector: 14 lxiIl CONSTRUCTION <br /> Facility A dre s: Ie°" A.ArwAM <br /> Well Address: Total Depth: <br /> WP#/f 'Oy 3 Well#: Drilling Rig Type: <br /> Soil Boring#- - =s^-e to, <br /> Drilling Company: �'Min 2"Annular EHD Seal Verified: 1:1 Yes El No <br /> ��� Screen Length From: To: <br /> Driller Onsite: .1 <br /> Consultant: ' i Filter Pack From: To: <br /> S4Y-lb <br /> Geologist: z-� Bentonite From: To: <br /> L. G SO-1-leGrout From: To: <br /> Public Water Sys em Ons. ite: �es ❑No S$3-COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: W— T <br /> height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: CO�"P�ION COOM�rION <br /> Method: G=ndsurtac, — <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No --n <br /> fi. <br /> SPOILS - =_ <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: stott2d v = <br /> sac�on = <br /> Covered: ❑ Yes El No = > <br /> ack <br /> If yes, material: gM <br /> GROUTING or DESTRUCTION Total Depth: IZ7-r <br /> Depth to Water: — n• <br /> Grout Material: <br /> Gallons of Grout Use MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation LL11oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ravity 2 remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement 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 /> 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 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Sockton, California 95205 T 209 468-3420 1 F 209 464-0138 �, www.socehd.com <br />