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SAK JOAQUIN Environmental Health Department <br /> " JI —COUNTY— P <br /> Greotness grows here <br /> +' Monitoring Well/Soil Boring Inspection Report <br /> // <br /> Date: T Z1 20 zt Inspector: Skkmr-tzr CONSTRUCTION <br /> Facility Address: U-n kwood Cf r[,U. <br /> Well Address: Total Depth: <br /> WP# (-"M;�t)�c(1 Well#: Drilling Rig Type: <br /> Soil Boring#: t7- Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: (�,L� <br /> Driller Onsite: 1 Screen Length From: To: <br /> Consultant: AhI44 TtVs <br /> Filter Pack From: To: <br /> Geologist: Bentonite 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 ABOVEGROUND <br /> Holding Temperature: CO P�1ON ccomptEnoN <br /> Method: Ground Surf=* <br /> Screening Method: grart <br /> Verified Chain of Custody: ❑ Yes 11 No �tt- <br /> tt. <br /> —ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes,spoils storage Location: sbhae <br /> aeon — B <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _= <br /> Depth to Water: o&0(+ Mja✓jXj__t tt• tt <br /> Grout Material: Nutt a4A ef' 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 Boring Destruction gags iz Cement: <br /> METHOD USED I Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity llTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> Rall s Bas gallons Bags <br /> Thickest I Thinnest 1t Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 T, 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sbcehd.com <br />