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io <br /> �. <br /> SAN J OAQ U I N Environmental Health Department <br /> / —COUNTY— <br /> cqP f Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 f 5�I Inspector: yu CONSTRUCTION <br /> Facility Address: 7-7-01 Q�t/v1 <br /> Well Address: 6_r+ gj= `Zk �[ l� Total Depth: <br /> WP# --5!5 Well#: Drilling Rig Type: <br /> Soil Boring#: B13 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: _ 1/ <br /> Driller Onsite: - Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: � G �;?__R./'' 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND _ <br /> Holding Temperature: COMPLEMN CC APLEncN <br /> Method: GroundSurtws T <br /> Screening Method: or«n <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> ft. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes 1:1 No <br /> If yes,spoils storage Location: slcnad = 8 <br /> on _ <br /> Covered: ❑ Yes ❑No = ;-V'W <br /> Pack <br /> If yes, material: _ <br /> ( 1 x <br /> GROUTING or DESTRUCTION Total Depth: <br /> � b <br /> Depth to Water: 0�" -&ACD1� cr n- n' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: — s <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ��,,,,�� Slot Size: <br /> ElInstallation)JBoring Destruction Bags iz Cement: <br /> �� �� 1 / <br /> METHOD USED �c .J 1� 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 4Bags 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 /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />