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SAN�JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> c9`IP,/ Greatness grows her, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �122. %q Inspector: CONSTRUCTION <br /> Facility Address:-0'529 Yday 4a*C6 <br /> Well Address: 9r3 j- Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#:SSP_ 1. `�J�' <br /> Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: W�fi c:, t F�x�`(�rt2ttvn <br /> Screen Length From: To: <br /> Driller Onsite: 2: cyl -N2rr\,nC1Q 5 - Filter Pack From: To: <br /> Cons ultant:sieym; FeT�ne l3ctile�c 6n<�ku C�„q <br /> Geologist: }{ � 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 /> SAMPLING ABOVE-GROUND CHR__ <br /> Holding Temperature: COMPLETION COMPLEnON <br /> Method: Ground Sudaon <br /> Screening Method: grart <br /> Verified Chain of Custody: ❑ Yes 11 No 1 „' <br /> h. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: slotted <br /> &*clan <br /> Covered: El Yes ❑No = onw+PaCA <br /> If yes, material: <br /> GROUTING or DESTRU TION Total Depth,-6a' <br /> Depth to Water:i3' n- — tt' <br /> Grout Material: Wec-,+ c-gvnp�at MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Boring Destruction Slot Size: <br /> 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 gTremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 94 lb <br /> allons Bas eallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 55% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 16 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 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> Gi _+6aj's=35 .,1 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />