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uip <br /> SANdOAQUIN <br /> Environmental Health Department <br /> d) —COUNTY------ <br /> `�cgt,�oaN�P' Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 9 6 w Inspector: 5 CONSTRUCTION <br /> Facility Address: <br /> Well Address: �m-5 ` Total Depth: <br /> WP# W � j 77,Z. Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Gc• � �r �" Screen Length From: To: <br /> Driller Onsite: '-u2se- _ <br /> Consultant:Sja-ke- 'V` '(1[a i VCee ( �)FJ ZAC., <br /> Filter Pack From: To: <br /> Geologist: ' ub4-,VX.j Bentonite From: To: <br /> Grout From: To:— <br /> Pu bl ic <br /> o: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 /> ii <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: OoiP�noN 0&U3 10114 <br /> Method: G=nd Surf"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> n. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: sI <br /> onttad <br /> Covered: ❑ Yes El No = en%Vi Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: � _ <br /> Depth to Water: NO n' <br /> Grout Material: { o(I�- e1 V'.WkL <br /> Gallons of Grout Used: mfl��h`� r�� ? MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction `' Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation$lBoring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 9-Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> iKtallo Bas eallons Bags <br /> Thickest Thinnest trBags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 to & 10 20 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 is 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 3S 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 />