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SANJOAQUIN Environmental Health Department <br /> 45 `f <br /> —COUNTY-- <br /> Greatness <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: '03)`ZO inspector: cAl� CONSTRUCTION <br /> ri <br /> Facility Address: Yl, PQ(D <br /> Well Address: Total Depth: <br /> WP# OOL4 6 Well#: Drilling Rig Type: <br /> Soil Boring#: ZF 2-0 G 1 Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company:_ 6'e-b E K <br /> Driller Onsite: a'vPi Screen Length From: To: <br /> Consultant: c:yp� Filter Pack From: To: <br /> Geologist:�� <br /> 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: jm- height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION C�OAAPDXMN <br /> Method: GroundSulacs T <br /> Screening Method: o►«rt <br /> Verified Chain of Custody: ❑ Yes El No —` n' <br /> ft. <br /> tt. <br /> SPOILS . <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: slotted _ B <br /> axion r <br /> Covered: ❑ Yes ❑No = gra-4 <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:�� =_ <br /> Depth to Water: D n- 2F 2- IF <br /> n' <br /> Grout Material: Ki"j- ro.,-,¢ <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring InstallationI�Boring 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 b 1Tremie ❑Other: Type of Method: <br /> Water Cement 471 water Cement 941b <br /> allons s gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Gement 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 1 40 80 8 <br /> I 0 'Vtf/'p n� �tzr-l" 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s*cehd.com <br />