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SAN JOAQUIN Environmental Health Department <br /> ^ COUNTY <br /> Day,o aP' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> I 4 � <br /> Date: ` / Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: I � c <br /> WP# ©Q Well#: Drilling Rig Type: `� J <br /> Soil Boring#: //,,, Min 2" Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: �cpl7 <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 5 0A a,�e�/ Filter Pack From: To: <br /> Geologist: (��/leV / Bentonite From: To: <br /> j 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: COWLETtON COMP�LEMN <br /> Method: Ground Sauce'+ <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No " <br /> If yes, spoils storage Location: atoned = . <br /> Covered: ❑ Yes ❑No =_ <br /> Z. g-vw pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �Q l2'�Z) ''• <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> �-7 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation $oring 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 ,XTremie ❑Other: Type of Method: <br /> Water Cement U11) <br /> 711 Water Cement 941b <br /> allons Billons 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 /> 20 408 40 80 8 <br /> q7 9a l bel s 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />