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tt *\13. am.-� 55iim. <br /> urN' �(ry.�yl(kyClsll, <br /> � <br /> °--�c SMJOAQUIN Environmental Health Department <br /> -COUNTY- <br /> Greatness <br /> COUNTY- <br /> j<G�t,rvl CPQ�t2 lti�IC '�0:2(Xt�. <br /> Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1-"r�7,1 Inspector: ��(A��r(D.� CONSTRUCTION <br /> Facility Address: jbck05, QeOLIA -��, <br /> Well Address: t- umu\1t1 L�P' Total Depth: <br /> WP#_ a ntA Vj_-�q Well#: Drilling Rig Type: <br /> Soil Boring#: CPT\ Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Ma& CS�Y C :!C" 1Q4 "C, Screen Length From: To: <br /> Driller Onsite: -U5e- <br /> Consultant: S YL FIYjoCiak6 Filter Pack From: To: <br /> Geologist: M� 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 ❑No casing <br /> If yes, location and distance: Iheight <br /> 77 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLN CConeL <br /> EMEnoN <br /> Method: Ground Surfer* <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> R. <br /> SPOILS <br /> >v = e <br /> Contamination Noted: ❑ Yes El No =" <br /> If yes,spoils storage Location: <br /> stoned _ B <br /> sac�on <br /> Covered: ❑ Yes ❑No = ens pack <br /> If yes, material: C <br /> GROUTING or DESTRUCTION Total Depth: Sl�'s�, S-V _ <br /> _ <br /> Depth to Water: Z1 w� n- ft. <br /> Grout Material: ctfvo*' <br /> �,,i MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: �� `�_7'" Casing Type: <br /> ❑Well Installation ❑Well Destruction5 Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation EKBoring 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 NTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 ✓ 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 L-*' 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 1 20 4 20 40 4 <br /> 12..5 25 5 25 50 5 <br /> 15 30 6 30 60 6 1 Omr COL r, �4�Qm�h <br /> 17.5 35 7 35 70 7 1 J 1 <br /> 20 40 8 40 80 8 �zr <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />