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UIA <br /> " c SAKJOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> Greotness grows here. <br /> Monitoring <br /> Well/Soil Boring Inspection Report <br /> Date: IPA Inspector: tV�W�iY(�yW�� �Z CONSTRUCTION <br /> Facility Address: <br /> Well Address: �{ 4A4'!J&-" Q,s1, C ' Total Depth: <br /> WP# Well#: Cf-Zo-7 Drilling Rig Type: <br /> Soil Boring#: <br /> Company: ��,�� � Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling p y: �i<v"'� 11X�T��c, Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: 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 ABOVE-GROUND <br /> Holding Temperature: OOf"F�ION CCWJN-EnON <br /> Method: Ground Surfa+cs <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No —`--ft. <br /> ft. <br /> ft. <br /> SPOILS =_ <br /> Contamination Noted: ❑ Yes El No r� <br /> If yes, spoils storage Location: sbnsd ' <br /> sac9on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> N. <br /> GROUTING or DESTRUCTION Total Depth: 6y�� :: <br /> Depth to Water: ft <br /> Grout Material: 2e-,1o,40 I, <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> rr Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> Rall s Bas allons Bags <br /> Thickest Thinnest xBags Thickest Thinnest #Bags Bentonite/Cement 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 1 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 B 40 1 s0 e <br /> 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 />