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Environmental Health Department <br /> � <br /> SAN.,IDAQUIN <br /> " I_'•I';,: —COUNTY— <br /> . <br /> Greatness arov.s hare. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: L,9ZS , Inspector: CONSTRUCTION <br /> Premise Address: Z d ,," <br /> J / <br /> WP#: 6) Z 4+ Total Depth: <br /> Well#: Drilling R g Type: <br /> Soil Boring#: <br /> Drilling Company:i/_� ��,i' Min 2"Annular Seal Verified: El Yes ❑No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: (� ; Y� p '�' Filter Pack From: To: <br /> Geologist: <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stave Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ❑No caning <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GRCUND <br /> Holding Temperature: CowL;=TION CcWLE-nCN <br /> Method: Ground S"f"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft• <br /> fi. <br /> ft. <br /> SPOILS <br /> - S <br /> Contamination Noted: El Yes ❑No ; _ •� x <br /> If yes, spoils storage Location: x1otwd -g <br /> aaccn <br /> Covered: ❑Yes ❑No <br /> If yes, material: <br /> . _ r <br /> GROUTING or DESTRUCTION Total Depth: �! L� -'• -_ 04�Ar S! <br /> Depth to Water: ,/ n ft• <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALSDE VELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation, (Boring Destruction Bags of Cement: <br /> METHOD USED r Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity emie ❑Other: Type of Method: <br /> water Cement 47 lb water Cement 941b <br /> allons Bas gallon5 Bais <br /> Thickest Thinnest x Bags Thickest Thinnest 9 Bags <br /> 2.5 s 1 5 10 1 Bentonite/Cement Mix 3% Mix 5% Mix <br /> 5 10 2 10 20 2 Bentonite per 47 Ib 1.41 2.47 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 Bentonite per 94 Ib 2.82 4.7 <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 606 ��� <br /> 17.5 35 7 70 7 <br /> 20 40 8 40 80 — <br /> /1868 E. Haz Iton Ave/nue Stockton, California 95205 T 209 468-3420 I F 209 464-0138 www. <br /> sjceh .com <br /> H' o 6tc4 ,CLyS l <br />