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SANJOAQUIN Environmental Health Department <br /> W k&_ —COUNTY------ <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: !�' rI-- <br /> u - 1V\'C CONSTRUCTION <br /> Facility Address: P r7STOA". l / <br /> Well Address: Total Depth: Sy/ _570 <br /> WR# 5 Well#: Drilling Rig Type: <br /> Soil Boring#: 63 - 61-1 <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: �alN�s Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING AWIVE-GROUND <br /> Holding Temperature: COMPLETION cayl�ncN <br /> Method: Ground Su=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> it. <br /> h. <br /> SPOILS =_ <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: slatted <br /> •IC90n z' <br /> Covered: El Yes ❑No = g-4 Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTIO Total Depth: UV 50 � _= <br /> IF <br /> Depth to Water: fL n' <br /> Grout Material: w- Covvva <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 NBoring Destruction 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 7Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags 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 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 /> " d 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 />