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SAKJ0A0UIN <br /> couNTY— Environmental Health Department <br /> cqP Greatness grows here. <br /> rr Monitoring Well/Soil Boring Inspection Report <br /> Date: 1017.$ IQU Inspector: .'Sc' �� CONSTRUCTION <br /> Facility Address: <br /> Well Address: 1571 /�QTpa;',t Wat,, 41")4ce' Total Depth: <br /> WP# UO t-1 l9(� Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Company: � ��� Min 2" Annular EHD Seal Verified: El Yes 11 No <br /> Drilling p Y: (_GS( (� D <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: 6&04"c S, c Filter Pack From: To: <br /> Geologist: ,Mc'GIrV iL¢ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes EJ No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING Agpyg.GppUND <br /> Holding Temperature: CO&FLETION COMPTM_LEnON <br /> Method: Ground Su face <br /> Screening Method: Omit <br /> Verified Chain of Custody: ❑ Yes ❑No �tL <br /> it. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: atoned c' <br /> aac�on = 3 <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: F.1 .4 _= •. <br /> Depth to Water: n- <br /> IF <br /> Grout Material: /U Z"' C etue- 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 Boring 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 I$Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% 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 209 464-0138 1 www.socehd.com <br />