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SANsJOAQUIN <br /> Environmental Health Department <br /> ` —COUNTY <br /> c,ur Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: r1;/?710o Inspector: ��-�tci/cam &n., `< =c CONSTRUCTION <br /> Facility Address: <br /> Well Address: '1.35 S pe;�tcbI L Total Depth: <br /> WP# c90 4/ (3 y/ Well#: Drilling Rig Type: <br /> Soil Boring#: f b <br /> Drilling Company: t1.'(j4- cav)- 6 r a Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: 'Linc G <br /> G Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 5e�c,Q�� �t�, 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING AgpyE„GAOL O CHMSTY_ <br /> Holding Temperature: COWLETION COMPLETION <br /> Method: Ground Sudan <br /> Screening Method: 61, grout <br /> Verified Chain of Custody: ❑ Yes El No n' <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =� <br /> If yes, spoils storage Location: atox&d <br /> at�Jon = B <br /> Covered: ❑ Yes ❑Nogra= vOl pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: -_ <br /> Depth to Water: JL <br /> Grout Material: l P(y 'Z <br /> 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 gBoring 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 ❑Tremie QOther: it; Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest "Bags Thickest Thinnest BBags 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 1 30 6 30 1 60 6 <br /> 17.5 1 35 7 35 1 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 F 209 464-0138 www.s*cehd.com <br />