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c2� SAN910AQUIN <br /> ' Environmental Health Department <br /> F —COUNTY— p <br /> �cr Greatness grows here. <br /> Monitoring Boring Inspection Report <br /> Date: S13112-020 Inspector: S4- �eeCONSTRUCTION !r <br /> Facility Address: 1LY-1 <br /> Well Address: Total Depth: <br /> WP# I Well#: Drilling Rig Type: <br /> Soil Boring#: 2 P —20" TT Min 2"Annular EHD Seal Verified: ❑ Yes 0 N <br /> Drilling Company: <br /> Driller Onsite: <br /> U Screen Length From: To: <br /> Ol <br /> Consultant: S 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 AMWE-GROUND <br /> Holding Temperature: COWPIETION EnoN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> SPOILS n. <br /> n. <br /> SPOILS = .: <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: .bid <br /> aac-jon <br /> Covered: ❑ Yes ❑No = 9,,,IWPack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ <br /> Depth to Water: n' <br /> Grout Material: 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 1�Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity "'�"Tremie ❑Other: Type of Method: <br /> (( <br /> Water ent 471b Water Cement 94 lb <br /> Cem <br /> allons Bas gallons Bags <br /> Thickest Thinnest NBags Thickest Thinnest 17 Bags 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 /> h0 6C71 V4 j b V�0-t" 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 />