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y `` , SAN.JOAQUIN <br /> Environmental Health Department <br /> --.....COUNTY............. <br /> oq� r Greatness grows here. <br /> 2/j q Monitoring /W) ell/Soil Boring Inspection Report <br /> Date: J Inspector: l0� f"t CONSTRUCTION <br /> Facility Address: 02 0. -, Wp,1/ C P7 rb (• S h <br /> Well Address: ✓✓ Total Depth: ��;�, r� �' �� <br /> WP# 001-10a Well#: Drilling Rig Type: 114 . <br /> Soil Boring#: 00'9 [0(6q- ( 0) � Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: Gnezlq ri&n <br /> Driller Onsite: � Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 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: COMPLETION �UiEnoN <br /> Method: G=nd Surface <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> SPOILS 006 l 06q0Cq <br /> � <br /> Contamination Noted: ❑ Yes El No �► ` +P/ <br /> Y p g 1 y�.6► 3� ►abttad <br /> If es,spoils storage Location: ` - :•� = <br /> a�cdon <br /> Covered: ❑ Yes ❑No packJ� 32► 1 _ gravel <br /> If yes, material: / , J <br /> GROUTING or DESTRUCTION Total Depth: 5•b FTCtl1r�� ) • —_ <br /> Depth to Water: < ✓� J-�lGe'�---M I IF M <br /> Grout Material: <br /> Gallons of Grout Used: C7 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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout []Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ;,Tremie ❑Other: Type of Method: <br /> Water Cemen 471b Water Cement 941b <br /> gallons Basgallons Bags <br /> Thickest Thinnest zBags Thickest Thinnest 9Bags Sentonite/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 z 1 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 1s 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> is 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> qD-/jLi 09s 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 />