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SAMPLING <br />Holding Temperature: <br />Method: <br />El Yes uNo Covered: <br />If yes, material: <br />El Pressure Grout DOver Drill <br />El Gravity ElTremie Other: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />._ 42-÷A SANIJOAQUIN Environment-' Health Department COUNTY <br />\,9iAa7,50e: ' Greotrass grows hem. <br />Monitoring Weil/Soil Boring Inspection Report <br />Inspector: .F2X14/1.4c1,se%&4y11— CONSTRUCTION <br />Facility ddress: El i s --rotA).A._ 1)r. <br />Well Address: Total Depth: <br />WP# Well#: Drilling Rig Ty e: <br />Soil Boring#: 4)(7 - 9 5-156,10,51-Isc, -11 1-t 5G -- t- ,S G 13 J . 5 (' - I LI , SH5 C, -1 5 -514SeIC ...... ,...t . 1 1 04._ Min 2" Annular EHD Seal 1/ri ie : El Yes filNo ) Drilling Company: -r_c_.7 N eArktvw-A_cal <br />Driller Onsite: <br />Geologist: From: Bentonite <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />GROUTING or DESTRUCTION Total Depthi.") )0 ) <br />Depth to Water: 1(1.0 VUL, <br />Grout Material: vki-1- ehepx.e.A.± <br />Gallons of Grout Used: I <br />3 <br />d / 1/; 1 ,1 4 , I VO , <br />El Well Installation DWell.Destruction <br />liiBoring Installation XBo ring Destruction <br />METHOD USED <br />Date: <br />CAro <br />Consultant: L From: in_LALA.51.sitx:ot4t_s Filter Pack <br />Screen Length <br />,CtSenelloefrtis <br />Grout <br />Yes ON° <br />El Yes ON° <br />El Yes 0No <br />Yes ON° <br />COMPLETION <br />From: <br />0 Stove Pipe <br />From: <br /> <br />To: <br /> <br />To: <br /> <br />To: <br />To: <br />Cement 471b <br />Bags <br />I <br />I <br />Water <br />gall ons I <br />Cement 94 lb <br />'Bags <br /># Bags Thickest Thinnest I 4 Bags Bentonite/Cement Mix 3% Mix 5% Mix <br />1 s 10 3. Bentonite per 47 lb 1.41 2.47 2 10 20 2 Bentonite per 94 lb 2.82 4.7 3 15 30 3 <br />4 20 I40I 4 <br />5 I ?..5 I 50 I 5 <br />0 30 I 60 6 <br />7 I 35 I 70 I 7 <br />8 I 40 I 80 I a <br />10/16/2017 <br />'868 E. Haaltort Avant.le 1 Stockton, California 95205 !1 209 488-34201 F 204 464-0138 J Www.slcehd.00M <br />asiag <br />height <br />A1377)-1TZ-F4CUND <br />COWLE-110t4 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Feet <br />GIChristie Box <br />Water <br />gallons <br />Thickest Thinnest <br />2.5 5 <br />5 10 <br />7.5 15 <br />10 20 <br />12.5 25 <br />15 00 <br />17.5 35 <br />20 40