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pully� <br /> SAN,.JOAQUIN Environmental Health Department <br /> -COUNTY--- <br /> 5' <br /> COUNTY-- <br /> cea`'`P Greatness grows here. <br /> eeMonitoring Well/Soil Boring Inspection Report <br /> Date:{ l5 (,o Inspector: SC-V 1 nU, CONSTRUCTION <br /> Facility 4dress: 1200 14Unnore'�AS 'PM-0 St0*n" <br /> Well /address: _ Total Depth: _ <br /> WP# 00%11202 Well#: Drilling Rig Type: <br /> Soil Boring#: 1, C,Qr-7 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: C-9-0 CSX. <br /> Driller Onsite: 6hriGtlQ.�1 '�yQY� Screen Length From: To: <br /> Consultant:---(gal)r A;fk . Aj"rkq Filter Pack From: To: <br /> Geologist: ►AArco 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 ABOVEGROUND CHRZI _ <br /> Holding Temperature: COMPLETION CC#APLEnCN <br /> Method: G=neSurf act T <br /> Screening Method: grota <br /> Verified Chain of Custody: ❑ Yes El No —`---n. <br /> ft. <br /> —ft. <br /> SPO,'LS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slonad <br /> on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: C <br /> Depth to Water: v tt• F tt <br /> Grout Material: f\!eja ?�,IfV`P�� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: �a Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation CKBoring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity Premie ❑Other• Type of Method: <br /> rv�rv,2xcil�\ <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest xBa stl Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3% Mix <br /> 2.5 s 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 /> I0 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 1.5 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 I www.s4cehd.com <br />