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SANJOAQUIN <br /> �0 �o. <br /> N Environmental Health Department <br /> —COUNTY— <br /> �' Greatness grows here. <br /> MonitoI_riin"g,.�Well/Soil Boring Inspection Report <br /> Date: 1114t (q Inspector: CONSTRUCTION <br /> Facility Address: Wt�S 1vLY P M <br /> Well Address: � Total Depth: ��'�r ► `��C " " <br /> WP#d 3 g 4 3 8 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company: r <br /> Driller Onsite: JtScreen Length From: To: <br /> �+ L Filter Pack From: To: <br /> Consultant: 1YY1 tAt ( fit Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes []No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> —CWT <br /> SAMPLING AMOVE-GROUND <br /> C <br /> Holding Temperature: CONFLE N C <br /> oOMPLEnON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No -�—n' <br /> n. <br /> n. <br /> SPOILS a <br /> Contamination Noted: ❑ Yes El No <br /> C <br /> If yes, spoils storage Location: abttad __ <br /> an <br /> Covered: ❑ Yes El No = cravo+vack <br /> If yes material: <br /> OUTING r DESTRUCTION Total Depth: <br /> De o Water: <br /> Grout Material: Neal <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> L Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of 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: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest rags 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 7 D 30 <br /> 10 20 4 20 40 <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 /> TV�j g�� VJ wtua- 10/16/2017 <br /> J_ ✓ ✓ <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />