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°z SAN-dOAQUIN <br /> 11 J6, Environmental Health Department <br /> —COUNTY <br /> — <br /> °,ciFom+�P Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 10N Ifew Inspector: , V1.. CONSTRUCTION <br /> Facility Address: SQ•�`IGl��� ik e.4 <br /> Well Address: `r2V6 Total Depth: <br /> WP# (00 Lf 13 ik Well#: Drilling Rig Type: <br /> Soil Boring#: FZ Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: ! c-Lja A, tZE14 i, ee,-„T <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: ,P/.k CaSFilter Pack From: To: <br /> T_ .s;.0'.C?fig <br /> Geologist: $TrP 1411 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE•,GgoL)IINp <br /> Holding Temperature: OOWPLUION C�OMP�_LEMN <br /> Method: Ground Surf we <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes 1:1 No -�—n <br /> it. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No =” <br /> If yes, spoils storage Location: slo <br /> sooner — B <br /> Covered: ❑ Yes El No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n- — n <br /> Grout Material: ' >� �y�e�� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Size: <br /> ❑Boring Installation PdBoring Destruction Bags Slot Siziz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> n Filter Pack Type/Size: <br /> El Gravity ❑Tremie ®Other: 6, 411 Type of Method: <br /> Water Cement 471b Water Ceme Ib <br /> allons Bas gallons Ba <br /> Thickest Thinnest tJBags 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 1 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 /> <I eAi ib,�-5S 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, Cali ornia 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />