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SAN�J0A0UIN <br /> Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> �J �,/ Monitoring Well/Soil Boring Inspection Report <br /> Date: v (,�O Inspector:9 ;il A CONSTRUCTION <br /> Facility Address: CZ <br /> Well Address:, Total Depth: <br /> WP#06 3 Well#: Drilling Rig Type: 44 a.— <br /> Soil Boring#: <br /> Drilling Compa 1// <br /> Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: �i'l2; ✓^ 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: CONFLETION cLETo <br /> o1NPN <br /> Method: Ground Suian <br /> Screening Method: grout <br /> Verified Chain of Custody: ElYes E]No n' <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ONO >` <br /> If yes,spoils storage Location: abs ' <br /> a�c�on s — <br /> Covered: ❑ Yes ❑No =_ gra„ pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total epth: � <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: c MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation Coring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity IgTremie ❑Other: Type of Method: <br /> Water Cemen io Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags 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 40 8 40 80 8 <br /> io/16/2oi� <br /> X l0 hays <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />