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' f ` SKJOAQUIN Environmental Health Department <br /> L�l< l -----COUNTY <br /> Greatness grows hent. <br /> Monitoring Well/Soil Boring Inspection Report <br /> `o� �� Inspector: )( 04-t� 4 Date: CONSTRUCTION <br /> Facility Address: _7S 2S 1.102"y 94 <br /> Well Address: "' r Total Depth: [ _700 <br /> WP#���(p�� Well#: Mw 1� q <br /> 6 Drilling Rig Type: ��• 02 5 �L� <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: , Yes El No <br /> Drilling Company: ' i2$ <br /> Driller Onsite: ''So S Screen Length From: 63 S To: 1 <br /> Consultant: Filter Pack From: To: lSgs <br /> Geologist: Bentonite From:«� To: tb �_�S�S g �� <br /> Grout From: 50 To: t0o �01 <br /> Public Water System Onsite: ❑ Yes L1 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COhiPLE7IoN COMPLEnoN <br /> Method: Ground S"}"' <br /> Screening Method: groin <br /> Verified Chain of Custody: ElYes ❑ n <br /> No ��� - 0 n' <br /> l . <br /> SPOILS Q. <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: 3106d ' <br /> j = <br /> an <br /> Covered: = 1585-� <br /> Covered: ❑ Yes ❑No (S4S (f <br /> If yes, material: �,t <br /> GROUTING or DESTRUCTION Total Depth: 5o 't'1 6?) IF F <br /> 5 - <br /> Depth to Water: In• 6�d0 (G <br /> Grout Material: <br /> Gallons of Grout Used: 01-- 6�0 Q p.-�(,or-S MATERIALS/DEVELOPMENT a� <br /> Casing Type: 2. S #1 SGS► g(� f �— <br /> XWell Installation ❑Well Destruction Blank S r IW'Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation []Boring Destruction Bags of Cement: 0 <br /> METHOD USED Bags Sand/Gravel: C�1'iGArds) <br /> Type/Brand of Bentonite: 2 6P lire- 661 A �u� <br /> ❑Pressure Grout ❑Over Drill C S <br /> Filter Pack Type/Size: � 3 5 avti /�✓ <br /> ❑ Gravity yremie ❑Other: Type of Method: <br /> ( V�if'h�► <br /> Water Ceme 471" Water Cement 941b q <br /> allons B Rall ons Bas <br /> Thickest Thinnest 4Bags Thickest Thinnest "Bags Bentonite/Cement Mix 3% ix 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 6 30 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 8 1 40 1 80 8 <br /> 3 bi S 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sucehd.com <br />