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�'ourH C . <br /> SANIOAQUIN Environmental Health Department <br /> -COUNTY <br /> Greatness grows here. •� <br /> ` c� Monitoring Well/Soil Boring Inspection Report <br /> Date: l� \ -U- Inspector: CONSTRUCTION <br /> Facility Ad re s: )A W' G <br /> Well Address: Total Depth: <br /> WP# 00,-\ Well#: Drilling Rig Type: <br /> Soil Boring#: 2 — j j <br /> Drilling Company: Min 2"Annular EHD Seal Verified: E] Yes 0 N <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: r\ K-At-- Filter Pack From: To: <br /> Geologist: SVS�LY� 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 El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING AWVE-GROUND CHR__ <br /> Holding Temperature: 00WLET10N COMPLEMN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> ft. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No — <br /> C <br /> If yes,spoils storage Location: <br /> slotted <br /> soclon -- <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: . _— <br /> Depth to Water: �5 n n' <br /> n�'r <br /> Grout Material: e` f\ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity Z�remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallons Bags <br /> Thickest Thinnest ABags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 s 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 is 30 3 <br /> �X 10 20 e 4 . 20 40 4 <br /> 12.5 25 5 • 25 s0 5 <br /> is 30 6 . 30 60 6 <br /> 17. 35 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.sbcehd.com <br />