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C/A�1,U1 I A I� A <br /> , ) --•c-cOG, V I'7 1\},"J O f1 Q V I 1 <br /> Environme II Health Department <br /> —COU NTY— <br /> �;,- Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 0 7 Inspector: CONSTRUCTION <br /> Facility idclress. <br /> Well Address: Total Depth: % <br /> WP# ell#: � Drilling Rig Type: 1 L <br /> Soil Boring#: G0vs�"1� <br /> Drilling Company: ❑ <br /> Min 2"Annular EHD Seal Verified: es No <br /> Driller Onsite: Screen Length From:- (' To: ZSR <br /> Filter Pack From: L^ To: Z- I — <br /> Consultant: " <br /> Geologist: CdIll 11.0 A A Bentonite From: 2- To: Z/ <br /> 2/ <br /> ❑No Grout From: To: <br /> Yes _ <br /> Public Water System Onsite: 2 COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ERKo casing <br /> if yes, location and distance: T height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLEr1ON COMPLETION <br /> Method: c3=nd Surixs <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No IllF -ft. <br /> ft. <br /> SPOILS ft.__ J <br /> Contamination Noted: El Yes Q'No = o (J <br /> If yes, spoils storage Location: _ <br /> -C: <br /> s ottad — �J <br /> a�c5on <br /> Covered: ❑ Yes ❑No <br /> g-viw pack <br /> If yes, material: g <br /> GROUTING or DESTRUCTION Total Depth: — <br /> Depth to Water: fL — tt• nn , <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS DEVELOPMENT /. <br /> Casing Type: 1/ �_ <br /> ❑Well Installation ❑Well Destruction Blank 7--<- , Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags of Cement: /4 <br /> METHOD USED Bags Sand/Gravel: Iy <br /> Type/Brand of Bentonite: (-4!55-4-;) A (' ,C <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: �- <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 941b <br /> gall s Bas gallons Bags <br /> Thickest Thinnest dBags Thickest Thinnest aBags 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1, www.s*cehd.com <br />