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"c= SANAAQUIN <br /> �� Environmental Health Department <br /> —COUNTY— <br /> Greatness <br /> COUNTY—Greatness grows here. <br /> Mo`nitoring Well/Soil Boring Inspection Report <br /> � <br /> Date,: \ (, 21 Inspector: _4Inspector: CONSTRUCTION <br /> Facility Address: `61 0 • :f fAA . <br /> Well Address: Vkpok� (\\)OL& Total Depth: <br /> WP# ��`�'}� Well#: Drilling Rig Type: <br /> Soil Boring#: 1pi _1 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: '�0. <br /> Driller Onsite: �� Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: 2:5y <br /> Geologist: MV1C)(1[.�,2\ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND CHRMM_ <br /> Holding Temperature: CO F�ION ccmPLEnoN <br /> Method: Ground Surtacn <br /> Screening Method: R groin <br /> WA <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> tt. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: slonad = 3 <br /> aeon <: "— <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _= <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 0. <br /> Grout Material: e" C k MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: c <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation 0�3oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> O-Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest It Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 3% MIX <br /> 2.5 5 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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 www.s*cehd.com <br />