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m : � SAK J0A0UIN Environmental Health Department <br /> —COUNTY-- <br /> Greatness <br /> OUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: �'1 I I(/�C�5 CONSTRUCTION <br /> Facility Address: <br /> Well Address: 1 ffi)VK0ifuI') �( � Yl Total Depth:_ <br /> WP# O dLA�Z b Z ell#: Drilling Rig Type: <br /> Soil Boring#: Cy T I G <br /> Drilling Company: (�X. JrJohUy_ u In 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> r <br /> Consultant: Filter Pack From: To: <br /> ��[a L1l J�' �1��Pii '� VLa Bentonite From: To: <br /> Geologist: (` &V-LlU <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 ABOVEGROUND <br /> Holding Temperature: CO�"F�bN �LEnooN <br /> Method: Ground Surface <br /> Screening Method: « <br /> ord <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> tt. <br /> tt. <br /> SPOILS <br /> lk <br /> Contamination Noted: ❑ Yes El No — <br /> a <br /> If yes,spoils storage Location: sb�d = <br /> sac.on — .8 <br /> Covered: ❑ Yes ❑No = cnw+Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 06 n� tt• — tt' <br /> Grout Material:h�(A t awl k <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: C' Cf, 1'1� <br /> 'ZTCasing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation ®BSlot Size: <br /> ®Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 51,Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest NBa s Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix S%Mix <br /> 2.5 s 1 t-i 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 z 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 1 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s*cehd.com <br />