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SAN)IOAQUIN <br /> �I —COUNTY— Environmental Health Department <br /> Fgkr, Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:;Z/G"2,6 Inspector: .LC G CONSTRUCTION <br /> Facility Address: t 4 q3i locnr <br /> Well Address: Total Depth: <br /> WP# Unt Well#: Drilling Rig Type: <br /> Soil Boring#:P, 12 7G Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: $e VKQbrLS tv1VirC,40,f,, &I Filter Pack From: To: <br /> Geologist:�Im i!1P 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: OOWLETION COMPLEnoN <br /> Method: around Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> ft. <br /> SPOILS = <br /> = m <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: slotted <br /> afr on — <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:Li X 70, _ <br /> Depth to Water: J2 '-14 I ft. ft' <br /> Grout Material: jngnR� Cemev L MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: t9 DCA-1 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation%Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity [KTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> gall Bags Rallons Bags <br /> Thickest Thinnest r7Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 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 /> 2.5 bads 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />