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gap° <br /> SAN�JOAQUIN Environmental Health Department <br /> COUNTY <br /> c�crr Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �I I�-2020 Inspector: '001 PfQ b 10 CONSTRUCTION <br /> Facility Address: 1200 Hu11- Ph(QjC . S-tacK-tQ'r <br /> Well Address: Total Depth: <br /> WP# BeyyIT.. Well#: Drilling Rig Type: <br /> Soil Boring#: '113-17 <br /> Drilling Company: 6�20- EX SUDSLr{C1(Q E'fPlGrgrttGry Min 2" Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: Cq�iG�s Screen Length From: To: <br /> Consultant: 0-5—nn-mt ing Filter Pack From: To: <br /> Geologist: SC(I f1t' 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 El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CCOOMPLEncN <br /> Method: Ground Surface <br /> Screening Method: Oro"t <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> tt. <br /> SPOILS <br /> M, <br /> Contamination Noted: ❑ Yes ❑No <br /> C <br /> If yes, spoils storage Location: slotted <br /> sec. n F <br /> Covered: ❑ Yes ❑No = g-volpadc <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1ti t4 _ <br /> Depth to Water: 19 tt tt• tc. <br /> Grout Material: NQQt CINT10't <br /> Gallons of Grout Used: 30 gat MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation dBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 1&remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 'V Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 3%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 (p bags cgmnf `yj jbs) <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 30 9 Icans INQtQ'r <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />