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SANJOAQUIN Environmental Health Department <br /> I":wi' '`: COUNTY -- <br /> �` 9e" � Greatness grows here <br /> 4 ` Monitoring Well/Soil Boring Inspection Report <br /> Date: l �Q ¢ InspectoCONSTRUCTION <br /> Facility Address: 25/09 <br /> Well Address: Total Depth: <br /> WP#t)(7 q OQ ( I Well#: Drilling Rig Type: <br /> Soil Boring#: — I Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: /v]; �I!J(P _ AjIJG, <br /> Driller Onsite: Screen Length From: To: <br /> AW <br /> Consultant: 6/a C Q KuL71 soGi4—&tj Filter Pack From: To: <br /> Geologist: J at° <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 0 N COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CO�"F�3ON cow1FncN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No —tt' <br /> tt. <br /> tt. <br /> SPOILS <br /> _ - o <br /> Contamination Noted: ❑ Yes El No = o <br /> If yes,spoils storage Location: stood = . <br /> a*c9on _ <br /> Covered: ❑ Yes ❑No = g-ve' <br /> Pack <br /> If yes, material: LL \ R <br /> GROUTING or DESTRUCTION Total Depth: SO 4 ( S 1 <br /> Depth to Water:—C v - l tt• tt' <br /> Grout Material: <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 Boring 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 f54Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas Rallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest uBags 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 /> !� O 9 p,l it) b ,,j� 10/16/2017 <br /> 18"68 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 www.socehd.com <br /> I I I I l <br />