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tea'" SAN JOAQUIN <br /> �_ <br /> Environmental Health Department <br /> —COUNTY--- <br /> Greatness <br /> COUNTY--- <br /> Greatness grows here. <br /> Q Monitoring Well/Soil Boring Inspection Report <br /> Date:? U Inspector: CONSTRUCTION <br /> Facility Address: o TI'di'am&V C'vh6& we <br /> Well Address: ka Total Depth: <br /> WP# Dp3qL431 Well#: Drilling Rig Type: <br /> Soil Boring#: FQ, VVQttlroy�Tn"Z'Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company jr ��t{� CCp�f,l'Umnl <br /> Green Length From: To: <br /> Driller Onsite_:��,{/ <br /> Filter Pack From: To: <br /> Consultant: <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 El No casing <br /> If yes, location and distance: IffT height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION comP�LEnON <br /> Method: G=nd Surf=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No 'tt' <br /> rt. <br /> tt. <br /> SPOILS . <br /> e <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: abttod K = 8 <br /> an ;; — <br /> Covered: ❑ Yes ❑No _ g-vw Pack <br /> If yes, material: <br /> GR TING r DESTRUCTION Total Depth: <br /> Dep o ater: tt• tt' <br /> Grout Material: Nut ceinitar <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> 1�7TWell Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring 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 /> 1P Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471 Water Cement 941b <br /> gallons Bas gallons Bags <br /> Thickest Thinnest u ags Thickest Thinnest #Bags BentonitelCement 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 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 /> 22.5gallN <br /> 10/16/2017 <br /> fi� 6a�s <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s6cehd.com <br />