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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> LV71-nsPectorLD�l <br /> MonitoringWell/Soil Boring Inspection Report <br /> Date: 0" 1 CONSTRUCTION <br /> Facility Address: S� lo/ry�yt rV I `Cw <br /> Well Address: / Total Depth: Hc-�A- <br /> Soil / 11 <br /> WP# 0 O� Well#: Drilling Rig Type: l�Boring#: 2 <br /> Drilling Company: �; � Min 2"Annular EHD Seal Verified: El Yes []No <br /> Driller Onsite: vt Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: �(PAIS 0,-✓n 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLE'rION =#APtEnOi4 <br /> Method: Grwnd SLOws <br /> Screening Method: a�«n <br /> Verified Chain of Custody: ❑ Yes El No <br /> it. <br /> SPOILS 1�j 5)'v�_ n <br /> Contamination Noted: ❑ Yes ❑Noejv 9 —101 <br /> e <br /> If yes,spoils storage Location: jacn ! <br /> s = <br /> Covered: ❑ Yes El No 7 = I-w+pack <br /> If yes, material: 1� <br /> GROUTING or DESTRUCTION Total Depth:' 1� -Le <br /> Depth to Water: 117,QojqLn• tt. <br /> Grout Material: <br /> ,� oZ S MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation 51�/oring Destruction Slot Size: <br /> 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 ❑Tremie ❑Other: Type of Method: <br /> / Water Cement 471b Water Cement 94 lb <br /> gallons Bas allons Bags <br /> Thickest Thinnest 1t Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 s 1 s 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 /> 15 3 15 30 3 <br /> 10 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 130 30 0 6 L( W 1 S�C �� r/(/r C <br /> 17.5 <br /> 35 7 35 70 7 <br /> 200 7 407 <br /> 40 8 ( BU 8 �- <br /> E O � q J � PS . 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />