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SAN�JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> �C, Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: VV; Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: `�j?}� SVl I& Total Depth: <br /> WP# c;0 q � We I#: Drilling Rig Type: <br /> Soil Boring#: ggi�� L <br /> Drillin Com an W &" Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Driller Onsite: 7,(.tk Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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 ABOVE-GROUND <br /> Holding Temperature: COMPLETION c*mpEtnoN <br /> Method: G=ndSufact <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: abxod <br /> = B <br /> s+cson _ <br /> Covered: ❑ Yes El No = 9-91 Pack <br /> If yes, material: E _— <br /> GROUTING or DESTRUCTION Total Depth: 'b' <br /> Depth to Water: n' <br /> Grout Material: <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 EBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie DOther: _ ��1� Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest #Bags 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 1 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.s*cehd.com <br />