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` SAN-JOAQUIN <br /> Environmental Health Department <br /> ` <br /> COUNTY­ <br /> Greatness Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Datel �O Com/ L.� Inspector: CONSTRUCTION <br /> Facility' Addreess: <br /> Well Address: S(� Total Depth: 7� <br /> WP# (90 4 L,C-D Well#: Drilling Rig Type: <br /> Soil Boring# 1 � <br /> Drilling Company: Min 2"Annular EHD Seal Verified: Yes ❑No <br /> Driller Onsite: Screen Length From?-15 To: J, <br /> Consultant: Filter Pack From: To:�� <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> 1-1 <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe Christie Box <br /> Domestic Well Onsite: ❑ Yes E]No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: CONFLETION COMPLEnCN <br /> Method: Gmune Surface <br /> Screening Method: Qrocn <br /> Verified Chain of Custody: ❑ Yes El No -i--n' <br /> tt. <br /> tt. <br /> SPOILS . <br /> 0 <br /> Contamination Noted: ❑ Yes []No <br /> If yes, spoils storage Location: aloud <br /> aeon R'• — <br /> Covered: ❑ Yes ❑Nci <br /> Q_VW Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ' <br /> Depth to Water: n• — n <br /> Grout Material: to <br /> Gallons of Grout Used 7 <br /> MATERIALS/DEVELOPMENT n <br /> Casing Type: Pty <br /> ❑Well Installation ❑Well Destru ion Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall s Bas gallons Bags <br /> Thickest Thinnest sBa s Thickest Thinnest NBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 10 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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />