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SAN OAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:1,Y/* inspector: V" CONSTRUCTION <br /> Facility Address: <br /> Well Addrkss: n {vee,Total Depth: <br /> WP# Well#: a Drilling Rig Type: O �U R� <br /> Soil Boring#: .Z <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: ` Screen Length From: To: <br /> Consultant: e0 C Filter Pack From: To: <br /> Geologist: a,h 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 <br /> Holding Temperature: COMPLETION Tiorxt <br /> Method: Ground Surfak* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No it. <br /> rt. <br /> 1Y. <br /> SPOILS r — <br /> �F <br /> Contamination Noted: ❑ Yes ❑No =` _ <br /> If yes, spoils storage Location: stoned <br /> sac�oIn <br /> Covered: El Yes ❑No _ anfPack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: tii ft• — n <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> AEell Installation ❑Well Destruction Blank Feet Screen Feet <br /> Size: <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gall ons 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 40 8 40 80 8 <br /> 1 -j 20 10/16/2017 <br /> I C)W4 <br /> 1868 E. Hazelton Avenue I Stockton, Ca I ornia 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />