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°° <br /> c SAK JOAQUIN <br /> c�. <br /> JCOUNTY Environmental Health Department <br /> — <br /> ����iF ��✓ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1A Inspector: N- CONSTRUCTION <br /> Facility Address: 5 U <br /> Well Address: M�AtR1o„"5� Total Depth: <br /> WP# OUA1512 Well#: Drilling Rig Type: <br /> Soil Boring#: 6— 1 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: ala ; Ckptu p h <br /> Screen Length From: To: <br /> Driller Onsite: J <br /> Consultant: r+' Filter Pack From: To: <br /> Geologist: �(1�i1�.� <br /> 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 /> SAMPLING ABOVE-GROUND CHRP_ <br /> Holding Temperature: COAFLETION COMLEMON <br /> Method: G=nd Sw1arcn <br /> Screening Method: grad <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> it. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stood <br /> sacion =• <br /> Covered: ❑ Yes ❑No = 9—w <br /> Poick <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: j�^ =_ <br /> Depth to Water: 0 AXA n' tt' <br /> Grout Material: V CA <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation X.Boring 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 /> XG- ravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eall ons Bags <br /> Thickest Thinnest xBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 4. 1 5 10 1 ✓ Bentonite per 47 Ib 1.41 2.47 <br /> s 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 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.secehd.com <br />