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N f6 - <br /> SHAUN Environmental Health Department <br /> —COUNTY— <br /> Sa, "' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ? ZI I Inspector: 541 l tr t<� CONSTRUCTION <br /> Facility Address: XAa jo-ser i W AS _E&-u1p1 <br /> Well Address: Total Depth:_. <br /> WP# -Well#: Drilling Rig Type: <br /> Soil Boring#: g{ Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: ( Y1 <br /> Driller Onsite: DLv111+�1 Screen Length From: To: <br /> Consultant: t'('(,lCoFilter Pack From: To: <br /> Geologist: Icv- V-f'e k'� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes EJ No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: IF7LT height <br /> R 9— <br /> SAMPLING ABOVE-GRCXJNC <br /> Holding Temperature: CONFLEUDN COMPLEMN <br /> Method: Ground Sudacn <br /> Screening Method: groLn <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> ft.ft. <br /> ft. <br /> SPOILS = .: <br /> _ o <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: atoned _ B <br /> a�c�on '— <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: la <br /> Depth to Water: n' n' <br /> Grout Material: } 11+ <br /> Gallons of Grout Used: k� 112- MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> v Slot Size: <br /> ❑Boring Installation [Boring Destruction \q, Bags of Cement: <br /> METHOD USEDv Ja�b Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill � Filter Pack Type/Size: <br /> -Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b <br /> Wall s Bas gallons Bags <br /> Thickest Thinnest 'V Bags 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 /> 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 1 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 1 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.socehd.com <br />