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u'"'z: SAN,�J 0 A Q U I N Environmental Health Department <br /> i°P°�cQ. <br /> COUNTY---- <br /> 1�1F0?j Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:6 I(6 2 fl Inspector: kylne CONSTRUCTION <br /> Facility Address: 30 / <br /> Well Address: Total Depth. 40 <br /> WP# u0 Well#: Drilling Rig Type: (�(�Ns-' <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: G -N 1 <br /> Driller Onsite: CAt✓�� J Screen Length From: To: <br /> �i dj/f- <br /> Filter Pack From: To: <br /> Consultant: KW n <br /> Geologist: I ►l)lAan/J Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes EJ No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GRCUNo <br /> Holding Temperature: COWLETION cont�oN <br /> Method: Ground Surf=* ' <br /> Screening Method: or«a <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> it. <br /> R. <br /> SPOILS <br /> - a <br /> Contamination Noted: ❑ Yes ❑No =" <br /> If yes, spoils storage Location: abttsd <br /> sac�on — B <br /> Covered: ❑ Yes ❑No = g-VI+PaCK <br /> If yes, material: <br /> r = . <br /> GROUTING or DESTRUCTION Total Depth: 0 IF_ <br /> Depth to Water: n• n' <br /> Grout Material: t4ult rkvvv LA MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity `gTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall! s Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 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 /> L� +9-q Sd 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />