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SAN.JOAQIJIN <br /> z Environmental Health Department <br /> J: COUNTY- <br /> 4 <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: D Inspector: 0—>-1045 CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# 00 A Well#: Drilling Rig hype: <br /> Soil Boring#: 13Z <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> ��`�P �� Screen Length From: To: <br /> Driller Onsite: <br /> c, UpT Filter Pack From: To: <br /> Consultant: l /� <br /> Geologist: v 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: COWLETION CCMPLEMN <br /> Method: around Surf act <br /> Screening Method: grocrt <br /> Verified Chain of Custody: ❑ Yes El No .L—ft' <br /> it. <br /> tt. <br /> SPOILS <br /> Z <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: slatted <br /> &*cion <br /> Covered: ❑ Yes El No = graw+P­k <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: -_ — <br /> Depth to Water: f - <br /> Grout Material: a MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: "Lk-1 <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation f.Boring Destruction Slot Size: <br /> `` ,1 y��.� Bags of Cement: <br /> METHOD USED I D Cil V G� ' Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest NBags Thickest Thinnest Bags Bentonite/Cement MIX 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 ✓ Bentonite per 47 Ib 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 <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 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />