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SAN OAQUIN <br /> <" JEnvironmental Health Department <br /> -.---COUNTY <br /> o4tr�6 Greatness grows here. <br /> C c Monitoring Well/Soil Boring Inspection Report <br /> Date:? )J ZO Inspector: I /(L / CONSTRUCTION <br /> Facility Address: D v2 F�pyl 4qP <br /> Well Address: Total Depth: � <br /> WP#00 0 Well#: Drilling Rig Type: l SA t/ / <br /> Soil Boring#: 6 1 — 13 L1 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: PrrV-_A-C a <br /> Screen Length From: To: <br /> Driller Onsite: j <br /> Consultant: � P�r�Gt- C�H <br /> Filter Pack From: To: <br /> Geologist: c. Bentonite From: To: <br /> Grout From: To: <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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLErlON CcooMP�t.EnoN <br /> Method: Ground S'dwe <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> h. <br /> ft. <br /> SPOILS <br /> a = - e <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: slotted = - <br /> n <br /> Covered: ❑ Yes []No � <br /> prawl pack <br /> If yes, material: <br /> N. <br /> GROUTING or DESTRUCTION Total Depth: 20 +(""/ 'i. _tz _ <br /> IF <br /> Depth to Water: n- n' <br /> Grout Material: <br /> Gallons of Grout Used: 5- pj MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation)(Boring Destruction Bags iz 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 Ceme 471b Water Cement 941b <br /> allons Billons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Gement 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 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> „S'6 9°i1 6,19S 10/16/2017 <br /> 1868 E. Hazelton Avenue IStkton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />