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�? co JAN JOAQUII1 <br /> EnvironmeilLal Health Department <br /> twCOU NTY-- <br /> .,c4�FoaN�P Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 101A20 Inspector: 1,XL1 G CONSTRUCTION <br /> dd <br /> Facility Aress: �7j� M(�1�6-�I�IL'Ur w1�f1Q ) TOA <br /> Well Address: J Total Depth: <br /> WP# 00 N i'7 — Well#: tAVJ Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company:Sn e' <br /> Driller Onsite: � � Screen Length From: To: <br /> Consultant: � )�'Y' Filter Pack From: To: <br /> Geologist: `W1 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> _WWT <br /> SAMPLING IBJ i Ik AZOVE-GROUND C4_RLSTy_8oX <br /> Holding Temperature: COt"FLETION cc#APtEnoN <br /> Method: Ground Surfacs <br /> Screening Method: ofOLt <br /> Verified Chain of Custody: ❑ Yes ;&No <br /> n. <br /> SPOILS N��A <br /> Contamination Noted: KYes El No <br /> If yes, spoils storage Location:t,b,� W 7AMM MKAijaj .bnae <br /> L"'-ns' sacjon = B <br /> Covered: ❑ Yes I El No Orx5t}Q bar = g,,,,t <br /> If yes, material: Ka Vyi- 1.rtLb Y1lCltl!i llf �I n�j• <br /> y{l be. �kt ;Y <br /> GROUTING or DESTRUCTION Total Depth: �, r• <br /> Depth to Water: r. ���Sf � / tt• <br /> Grout Material: l Y�J�a�� LUL' C,Gt�t4klu'tu61,{5 <br /> Gallons of Grout Used: '1- ��A S (� (,�i�af�-, MATERIALS/DEVELOPMENT <br /> "�— Casing Type: <br /> ❑Well Installation MWell Destruction 1CS Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction U Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 5aTremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest kBags 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 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s4cehd.com <br />