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SAN�JOAQUIN <br /> _ Environmental Health Department <br /> a , <br /> COUNTY-- <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: W'14M Inspector: �1 CONSTRUCTION <br /> Facility Addre s:� f1 <br /> Well Address: CISZ�{ + _ Total Depth: <br /> WP# 00 N Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: fACO Yl Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Yl Screen Length From: To: <br /> Consultant: �pEr0.(� Filter Pack From: To: <br /> Geologist: �s1�p,0. 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 1:1 No casing <br /> If yes, location and distance: 17 height <br /> SAMPLING /ABOVE-GROUND <br /> Holding Temperature: COt„FLETtON CoP�LETtON <br /> M <br /> Method: Ground Surf°o' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �tt• <br /> tt. <br /> it. <br /> SPOILS a. <br /> — - o <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> slatted <br /> Covered: ❑ Yes ❑No - cnw+pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: o '( tt• — tt• <br /> Grout Material: � <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction -/1i�`9� Blank Feet Screen Feet <br /> El Boring Installation 95oring Destruction 7�5 Slot Size: <br /> Bags of Cement: <br /> METHOD USED ` Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> [KGravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest >lBags 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />