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. U,1.1v c <br /> °<< SAN._J0A0UIN <br /> Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: .l I�J`%/��' Inspector: �i �(i5ut l•`o,�la��^� CONSTRUCTION <br /> Facility Address: yimle jr-'Ze <br /> Well Address: Total Depth: <br /> WP#CICS (. (C<� ` Well#: Drilling Rig Type: <br /> Soil Boring#: 1� L ' ' �6l Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: L. <br /> Screen Length From: To: <br /> Driller Onsite: <br /> \4A�"M����, Filter Pack From: To: <br /> Consultant: t <br /> � <br /> Bentonite From: To: <br /> Geologist: v, <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 ABOVE-GROUND <br /> Holding Temperature: COWPLETION t n10N <br /> Method: Ground Surfaos <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No -�--n' <br /> n. <br /> n. <br /> SPOILSIZ <br /> a __ <br /> Contamination Noted: ❑ Yes El No Ei= <br /> If yes,spoils storage Location: <br /> .on <br /> = B <br /> Covered: ❑ Yes ❑No <br /> If yes, material: '�= <br /> GROUTING or DESTRUCTION Total Depth: (00 =_ <br /> Depth to Water: n• n' <br /> Grout Material: a�;� CGr^4�\ 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 E Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> 1 Type/Brand of Bentonite: <br /> IJ Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471 Water Cement 941b <br /> all s Bags,, gallons Bags <br /> ThicRest Thinnest Bags Thickest Thinnest ItBags Bentonite/Cement Mix 3% Mix 55%Mix <br /> 2.5 s 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br /> l 0 cl��I )`� <br />