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�ukN <br /> °� SAK JOAQUIN Environmental Health Department <br /> COUNTY <br /> c� rl Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2g a' ^ Inspector: Gbkc i`S(,� 113ic.c_lZ+..'.- CONSTRUCTION <br /> Facility Address: KV, A. rpoj W .,c_ , 4CA GA <br /> Well Address: '7C 31L Total Depth: <br /> WP# 0041S49 Well#: Drilling Rig Type: <br /> Soil Boring#: $-( Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: T Screen Length From: To: <br /> Consultant: Cct'c <br /> Filter Pack From: To: <br /> Geologist: /�l, 1_, 11 L <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 1:1 No caging <br /> If yes, location and distance: height <br /> SAMPLING ASOVE.GfiOU M <br /> Holding Temperature: COMPLETION COMPLEON <br /> Method: Ground S"rta" <br /> Screening Method: Oran <br /> Verified Chain of Custody: ❑ Yes El No ft <br /> n. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No " <br /> If yes, spoils storage Location: stoned <br /> scion — B <br /> Covered: ❑ Yes El No <br /> — gravN pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1.) =_ <br /> Depth to Water: ft• — ft• <br /> Grout Material: �l,�C_:,,� [.�... 1 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation CABoring Destruction gags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 5dTremie ❑Other: Type of Method: <br /> Water Cement I Water Cement 94 lb <br /> allons Bas eallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest #Bags 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 z 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 /> 16 5 I Z.9 h 47 g 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />