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OCSANJOAQUIN <br /> Environmental Health Department <br /> " — COUNTY-- <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> /�3/;dw Date: I Inspector: l n, A CONSTRUCTION <br /> Facility ddress: -:�:70 2 <br /> Well Address: Total Depth: U <br /> WP# Well#: Drilling Rig Type: f`"7 S 1 <br /> Soil Boring#: S Min 2" Annular EHD Seal Verified: ElYes 0 N <br /> Drilling Company: i' � Z SrJGf <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: �s s SO a P'T�S Filter Pack From: To: <br /> Geologist:_ A/�OA�� 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: T height <br /> _C9 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COhFLET{ON COMPLEnoN <br /> Method: 61 • RSI G=nds"r"' <br /> Screening Method: t,2"1 S ► arm <br /> Verified Chain of Custody: ❑ Yes El No �'i— ops i �ft: <br /> �— ► ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No Zo i =" <br /> If yes, spoils storage Location: '-1'' S I abttnd <br /> sao�on <br /> Covered: El Yes El No w Z l = 1 <br /> ack <br /> If yes, material: 4 �D _ gra_ <br /> to <br /> GROUTING or DESTRUCTION Total Depth:01o'i"1 <br /> nn '' <br /> Depth to Water: — 2 -V4 �12 to n• n' <br /> Grout Material: zot. �2 <br /> ATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: s 03�to <br /> �'� Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installationoring 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 /> 1 4ravity Xremie ❑Other: Type of Method: <br /> Water Ceme 471b Water Cement 941b <br /> ailons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest uBags 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 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 /> /It— 025 I A �Z S ba�S 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />