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SANJOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness Grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 5�3� /� Inspector: rt04sF6— CONSTRUCTION <br /> Facility Address: zyTb S !1.�•�i/e�- pCrvy/ <br /> Well Address: Total Depth: 24 9-J <br /> WP# uo3iMfi 8' —We ll#:� Drilling Rig Type: sem <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: Yes El No <br /> Drilling Company: <br /> Screen Length From: 247- To: &-S 2,57.5 P°' ^ <br /> Driller Onsite: <br /> Consultant:���SYy f� Filter Pack From:2Gfi•t To: Z <br /> Geologist: it' -s g. oaf <br /> Bentonite From:24V To: 2�f2 <br /> Grout From: 2.'k2_ To: 5ur*--c <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION cMmPLEnoN <br /> Method: Qf ndSufaos <br /> Screening Method: aroma <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted KI _ <br /> sac�on � — <br /> Covered: ❑ Yes El No = g-+s-* <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ZG�" ` : - _= <br /> IF <br /> Depth to Water: z Z tt. <br /> ' ft. <br /> Grout Material: Alf—l"" C',rwtii. / f <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: Y,N <br /> AWell Installation ❑Well Destruction Blank2-51i Feet Screen P o` Feet <br /> Slot Size: .4!72-0 <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: xiilr3 13 frays <br /> " <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: X/3 <br /> ❑ Gravity E&Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest NBags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 3%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 31. 37,.J tft.o/ g(xa S I(P W.X es <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 } <br /> 17.5 35 7 35 70 7 V <br /> z 't(1 •'2C b ( 1 � <br /> 20 40 8 40 80 8 <br /> q7 16S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.sFcehd.com <br />