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°=f SANJOAQUIN Environme I Health Department <br /> COUNTY <br /> G-ectness <br /> OUNTYGreatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: (p`\26ti'ZA Inspector: _ CONSTRUCTION <br /> FaciIityAddress: -'L- k •-W, r <br /> Well Address: D S P 6c• Total Depth: b�> <br /> WP# 41 S' Well#:LA —23 Drilling Rig Type: l-tS Pt <br /> Soil Boring#: N t A Min 2"Annular EHD Seal Verified: ®,Yes ❑No <br /> Drilling Company: C-,51 4r <br /> Driller Onsite: �.Nln(r.�. Screen Length From:�� To: �3 <br /> Consultant: fs t�(p Filter Pack From: \o�P To: <br /> Geologist: �+�� Bentonite From: <a`� To: �p� <br /> Grout From: To: Igo <br /> Public Water System Onsite: [ „Yes ❑No COMPLETION ❑ Stove Pipe I)1Christie Box <br /> Domestic Well Onsite: ❑ Yes KNo casing <br /> If yes, location and distance: height <br /> SAMPLING NJP111 ABOVE-GROUND <br /> Holding Temperature: COMPLETION COMPt.ETiON <br /> Method: G=nd Sutaca <br /> Screening Method: groLd <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> SPOILS '— <br /> Contamination Noted: VQ.%D ❑ Yes ❑No =` <br /> If yes, spoils storage Location: slaitad , <br /> ssrion a "— <br /> Covered: ❑ Yes ❑No = yrs,r.tpaak <br /> If yes, material: . <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 3f--,1 fi. <br /> Grout Material: ►�J �o.T �,,�,� <br /> Gallons of Grout Used: "LQ ' MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> NWell Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity t.Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons gallons Ba s <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 /> 5 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 60 6 <br /> 17.5 35 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 209464-0138 1 www.swcehd.com <br />