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°p(]UIN C, <br /> SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY- <br /> °qL, r Greatness grows here. <br /> l� Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 � U2-V Inspector: PYi 74 CONSTRUCTION <br /> Facility Address: EL -Kin Dr <br /> Well Address: Total Depth: c <br /> WP# 6) 0 0 yp <br /> Well#: Drilling Rig Te: J - 6 <br /> Soil Boring#: ( 2 3 Z6 832, Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: TP11_ r'6L c otn ig3 3 <br /> Driller Onsite: Screen Length From: To: <br /> 1�; 1 / <br /> Consultant: eta' o <br /> Filter Pack From: To: <br /> GeologistBentonite 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 A80VE-GROUND CHIM__ <br /> Holding Temperature: CONFLET(ON c.OMPLEnoN <br /> Method: Ground Surface <br /> Screening Method: Q 2 arm <br /> Verified Chain of Custody: 1:1 Yes ❑No <br /> Z/ • ZO ft. ft. <br /> SPOILS Z3 . ZO <br /> Contamination Noted: ❑ Yes ❑No �76 7-0 <br /> If yes, spoils storage Location: g3 J : 7-0 f sbttad x <br /> s+�;cn <br /> C� v� — <br /> r � B <br /> Covered: El Yes El No 32, S _ g,,,iwpack <br /> If yes, material: 33 s <br /> GROUTING or DESTRUCTION Total Depth: 30 4 • __ <br /> IF Depth to Water: o VIR, ft- ft' <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 ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cemen471b water Cement 941b <br /> allons Bagallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest 'V 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 z 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 <br /> IS 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 12� c ) Z � 10/16/2017 <br /> 1868 E. Hazelton Avenue I!/Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />