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SANAAQUIN Department <br /> Environmental Health <br /> —COU NTY-- <br /> �rr Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: 1 CONSTRUCTION <br /> Facility Address: t%.-7-7-7 4-G. j <br /> Well Address: t(,M M--kc„lcti Total Depth: <br /> WP# ��,i M '7 Well#:� Jy�- Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Gv5A QOrk 6v� <br /> Driller Onsite: (3 rc.�..�. N Screen Length From: To: <br /> coS4,,,�YcP <br /> Filter Pack From: To: <br /> Consultant: C, <br /> Geologist: r 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 []No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-Gaoto <br /> � _ _ <br /> Holding Temperature: COMPLETION COMPLEnoN <br /> Method: Ground Surlwe <br /> Screening Method: ole <br /> Verified Chain of Custody: ❑ Yes Ll No <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> slotted x = B <br /> sac3on <br /> Covered: ElYes ❑No ` <br /> If yes, material: 19 <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: ft. <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> Gell Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> 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 Vemie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest 4Bags 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 /> 1 20 4 20 40 4 ,, Q A�, J� �tN4 C ��.1 C k-�f• <br /> 12..5 25 5 25 50 5 (� W <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 4-p r-e o t� .L^ <br /> —7 Z <br /> 20 40 8 40 80 1 8 <br /> �ikv o'F -}r( «, r,( �v`l4 - S '-'166 �S '`'" 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />