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= loutiv�� SANsd0A0UIN <br /> [� Environmental Health Department <br /> COUNTY-- <br /> Greatness <br /> OUNTY -Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: z� Inspector: A/%.--c•- CONSTRUCTION <br /> Facility Address: IIZI NAcCligi 4..p. <br /> Well Address: Total Depth: <br /> WP#00 41o( z Well#: Drilling Rig Type: <br /> Soil Boring#: 11SA-10 t&'4- 1 <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: GdW dkj-'-e <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Z -4 Z ry✓t Filter Pack From: To: <br /> Geologist: • Bentonite From: To: <br /> g �� Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: Iheight <br /> —wig <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLE ION COMPLETION <br /> Method: Grand Surf=o <br /> Screening Method: groLn <br /> Verified Chain of Custody: ❑ Yes El No �f. <br /> h. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: 6-V �9"W iter sI twd <br /> r a�c^on x <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> x <br /> GROUTING or DESTRUCTION Total Depth: 7-0t,Sbt , <br /> Depth to Water: i- 10 n• <br /> Grout Material: Ata•w4r- cenGwf <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation g Slot Size: <br /> C9'�orin Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity C7'rfremie ❑Other: Type of Method: <br /> ter C Water Cement 94 lb <br /> allon gall ons Bags <br /> Thickest Thinnest uBags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 3%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 40 80 8 <br /> �(p f/ 6v�' <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.s*cehd.com <br />