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SANJOAQUIN <br /> Environmen.dl Health Department <br /> —COUNTY— <br /> �`n � Greatness grows here. <br /> 13C)llq <br /> Moniitoring Well/Soil Boring Inspection Report <br /> Date: i. Inspector: V " c CONSTRUCTION <br /> Facility Address: n l b C' ;.T3�2 <br /> Well Address: - c 4--- V Total Depth: <br /> WP# 0C-) q q 12— Well#: �Drilling Rig Type: /"' <br /> Soil Boring#: ' Min 2"Annular EHD Seal Verified: LPY'e <br /> s ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: ZV To: <br /> Consultant: L�l D S �JA�C <br /> Filter Pack From: To: <br /> Geologist: Bentonite From:-3 To: � <br /> Grout From: Z To: <br /> Public Water System Onsite: ❑ Yes El No COMPL TIO tove Pipe ❑Christie Box NSI <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> a ing �c <br /> If yes, location and dis he ght <br /> SAMPLING n <br /> Cpc <br /> CHR__HoldingTempe ture. comPLEnoN <br /> Method: Grand Surface <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes El No Ir n' <br /> n. <br /> it. <br /> SPOILS <br /> aAw = e <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: •bTtD� = B <br /> a*c2on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _= ' <br /> GROUTING or DESTRUCTION Total Dept `�L __ <br /> Depth to Water: ft. <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> G^,// Casing Type: <br /> K1Nell 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 /> ❑ Gravity ATremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest xBags 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 -E-� 2- 3p <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 " 1 S +„tell �Qr � 1 ,��/� <br /> 20 40 8 40 80 8 1/1 wet(11 > !� QL f 1 ( � <br /> I p SaN1�SL I 0 10/16/2017 <br /> ® 11 °l�'1��`',S r ' '` `-� b``� $tzt I1 l 1.eM o C� <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sbcehd.com <br />