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"c2 SANs10A0UIN <br /> � o . <br /> Environmental Health Department <br /> _ <br /> / COUNTY <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: inspector: 64i QUh- CONSTRUCTION <br /> Facility Address: � � , <br /> Well Address: `\�\ �'�f�. .A1;z S E k��N Total Depth: <br /> WP# 9 2 WeI ll#: Drilling Rig Type: p? <br /> Soil Boring#: !,T5�1 �ti, Ncl, 45 <br /> Min 2 Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: A// M (l <br /> 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 A80VE-GROUND <br /> Holding Temperature: CONFLETION CoMP�iETtoN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No -�--n' <br /> it. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted <br /> an <br /> Covered: ❑ Yes 1:1 No ,, i1' _ gra„wpack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> IF <br /> Depth to Water: fL n' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity L Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest aBags Thickest Thinnest IBags 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 15 30 3 <br /> 10 20 1141 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 1 8 <br /> ' � <br /> 10/16/2017 <br /> CA �� It, <br /> 1868 E. Hazel on Avenue Itockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />