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'�u'" SAN:JOAQUIN Environmental Health Department <br /> <,oyc <br /> COUNTY---- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:y 7-3-74:vh Inspector: CONSTRUCTION <br /> Facility Address: 10*) ,01'4�'cadg /� <br /> Well Address: Total Depth: <br /> WP#®V'a7 9� Well#: Drilling Rig Type: <br /> Soil Boring#: ELQ y, 0d. 7, .1" 7 „ <br /> Co�htXS, +E <br /> `�� Min 2 Annular EHD Seal Verified: ❑ Yes ONO <br /> Drilling Company: <br /> Driller Onsite: s1`� Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: jP.s.+�' 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 ONO casing <br /> If yes, location and distance: height <br /> ii <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: es <br /> I COWLETION ncN <br /> es <br /> Method: r"; (I G=ndSudac* <br /> Screening Method: /✓r.1wel4p grow <br /> Verified Chain of Custody: ❑ Yes 0 �tt. <br /> ft. <br /> tt. <br /> SPOILS <br /> /S —> ,y3�fO�l <br /> Contamination Noted: ❑ Yes ONO r <br /> If yes, spoils storage Location: �$y s.4 biz slottne _ - <br /> Covered: E] Yes ❑No soon j <br /> If yes, material: -Y—;" <br /> GROUTING or DESTRUCTION Total Depth: 6 — <br /> Depth to Water:— ° tt• — tt' <br /> Grout Material: /Y'<lr?"'eCo-v-n f <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <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 Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ravit Tremie ❑Other: Type of Method: <br /> IJ <br /> er Water Cement 941b <br /> all allons Bags <br /> Thickest Thinnest J1 Bags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 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 P40 80 a <br /> /®415 AP'2-7 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />