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°amu'"c SAN_JOAQUIN <br /> f) pG <br /> Environmental Health Department <br /> —COUNTY <br /> rgcl�oP Greatness grows here. <br /> (� Monitoring Well/Soil Boring Inspection Report <br /> Date: ( 7i 74rispector:(­�;OL- CONSTRUCTION <br /> Facility Address: 11-3t4 El i 00. 1"- <br /> Well Address: Total Depth: <br /> WP# Oo H 0 ` S Well#: Drilling Rig Type: <br /> Soil Boring#: a 7-113,4 , S, a , <br /> Drilling Company:Com a��•�rr Ir 40� Min 2„Annular EHD Seal Verified: El Yes El No <br /> a <br /> Driller Onsite: r 11 p�.A Screen Length From: To: <br /> Consultant: T•e'r✓-O--cov1 Filter Pack From: To: <br /> Geologist: <br /> 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-GgpUNp CHR__ <br /> Holding Temperature: COWIETtoN comptFnoN <br /> Method: Ground Surface <br /> Screening Method: <br /> Verified Chain of Custody: El Yes ❑No �j�I,Z• �s � <br /> SPOILS 63� Ise � - - <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: b 6' 2 E slotted <br /> B <br /> Covered: El Yes ❑No g$' Z� = � pack <br /> If yes, material: 1 <br /> GROUTING or DESTRUCTION Total Depth:l '.4 <br /> Depth to Water:k70/ <br /> Grout Material: <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 XBoring Destruction <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 ❑Tremie ❑Other: Type of Method: <br /> Water Cemen 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags 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 5o 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 12 0 9 al 2 baA S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />