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3ANsJUAVUI N Environmental Health Department <br /> _ COUNTY— <br /> :e Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: O I Inspector: Lsr , CONSTRUCTION <br /> Facility ddress: Z3 L2_3 5 . AnAa&�� fZ•l <br /> Well Address: Total Depth: <br /> WP#W'U?.2 Well#: Drilling Rig Type: <br /> Soil Boring#: bi -kDZ Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company:_1gt wn &%S.L +_!tS -.-c Screen Length From: To: <br /> Driller Onsite: 1�?+w�n� <br /> Filter Pack From: To: <br /> Consultant: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ONO COMPLETION ❑Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ONO casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: � fON �tF_TioN <br /> Method: Gnxind Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑No ' <br /> tt_ <br /> ft. <br /> SPOILS <br /> — a <br /> Contamination Noted: ❑Yes ❑No = o <br /> If yes,spoils storage Location: sL-rad <br /> Covered: ❑Yes ❑No = , <br /> If yes, material: <br /> 'w = <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 4i&AM �-- ' <br /> Grout Material: ,i1g&A- eeyl• <br /> Gallons of Grout Used:—' o V• o MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation NUJ oring 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 Vrrremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> Zzall Bas 9011ons Bags <br /> Thickest Thinnest 9Bags Thickest 'Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 25 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 I, i t i <br /> 10 20 A 20 40 4 <br /> 125 25 5 25 50 5 S J H'�1 -t- <br /> is <br /> �, I <br /> 15 30 30 0 3 <br /> 17.5 7 35 7 35 7 7 7 0 7 R. <br /> 20 1 40 B 40 1 eo a Zj1 ilia 4- y 4-7 46 &5 I <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />