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fo►�uih <br /> Ex SAN; ! Environmental Health Department <br /> .+fir <br /> —COUNTY— <br /> °scaFOP�P` Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 6&/W W Inspector: c5t S -5` C KI CONSTRUCTION <br /> Facility Address: -y SJ N1 {ttcc'►^ <br /> Well Add re Total Depth: <br /> WP# no WT Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: E] Yes El No <br /> Drilling Company: i/ 9 (n/ Dr rl(/ <br /> Driller Onsite: ��K� Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: <br /> Geologist: Lf&jfoCom` MIti.(. A c�;o�f--S Bentonite From: To: <br /> De eK 8 o,-j'S'(,4- Grout From: To: <br /> Public Water System Onsite: ❑ Yes []No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING A ZOVE-GRCUND CHR__ <br /> X. <br /> Holding Temperature: COMPLETION COMPtEMN <br /> Method: Ground Su7ace ' + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> fi. <br /> ft. <br /> SPOILS _ <br /> 0 <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: <br /> sloned <br /> sacdon _ <br /> r: <br /> Covered: ❑ Yes ❑No —_ sack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: bo(k- 157 f� _ <br /> Depth to Water: 6- M — n• <br /> Grout Material: e(A-t CC./` e- <br /> Gallons of Grout Used: ' ,V -� , MATERIALS/DEVELOPMENT:1 <br /> Casing Type: <br /> ❑Well Installation ❑Well DestruciWan Blank Feet Screen Feet <br /> El Boring Installation oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> �ravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 94 lb <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 55%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 s0 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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 I www.sucehd.com <br />