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OPpUII.��., <br /> SANdOAQUIN <br /> _--COUNTY---- <br /> Environmental Health Department <br /> rre/ Greatness grows here. <br /> bns <br /> Monitoring Well/Soil Boring Inspection Report <br /> 1 Date: I , I pector: �E 1 CONSTRUCTION <br /> Facility Address: YL <br /> Well Address: Total Depth: <br /> WP# 00 � li1 (o Well#: Drilling Rig Type: <br /> Soil Boring#: 9A — Min 2"Annular EHD Seal Verified: ❑ Yes 0 N <br /> Drilling Company: <br /> f✓ Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: <br /> Filter Pack From: To: <br /> Geologist: LA W- A j 2 I Bentonite From: To: <br /> � I 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 /> —Ef <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLETION ccompl.EnoN <br /> Method: Ground surrw. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: slotted <br /> sac�on '— <br /> Covered: ❑ Yes ❑Nogra= „al <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: -! fL n' <br /> Grout Material P ce no Lt''`d <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring InstallationNqBoring 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 /> l`Gravity remie ❑Other: Type of Method: <br /> l Water Cement 411b I Water Cement 941b <br /> gallons Bas gall ons Bags <br /> Thickest Thinnest ags Thickest Thinnest vBags 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 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> g9 Zo til 6o I Q,t� B L'i33 -� 15 h ��� 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F'`209 464-0138 1 wvvw.sjcehd.com <br />