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0`0 SAN JOAQUIN <br /> Environmental Health Department <br /> ---COUNTY---- <br /> -COUNTY <br /> �q1L, Greotness grows here. <br /> l.� Monitoring WeA <br /> ll/Soil Boring Inspection Report <br /> Date: I 1 2 I Inspector:D10-1- 0� <br /> Q CONSTRUCTION <br /> Facility ddress: a <br /> Well Address: q S . � Vim, Total Depth: <br /> WP# ()QqI Q�� Well#:�VI/_� ( Drilling Rig Type: <br /> Soil Boring#: S t� <br /> Drilling Company: t Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> ���� <br /> Driller Onsite: 1'_Lt4t Screen Length From: To: <br /> Consultant: e �' Filter Pack From: To: <br /> Geologist: � Bentonite From: To: <br /> 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 ABOVEGROUND <br /> Holding Temperature: COMPLETION COOAFLEMN <br /> Method: Clrvund Surf ac* <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes [I No �ft. <br /> tt. <br /> tt. <br /> SPOILS N. <br /> AY a <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: 11 slotted <br /> 1 r` section — <br /> Covered: ❑ Yes ❑No/�a <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:o�5 -P4/ q5 -P4 <br /> Depth to Water: cqnz- / n• tt. <br /> Grout Material: <br /> Gallons of Grout Used: �- MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installationell Destruction Blank Feet Screen Feet <br /> )AW Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED /t psA <br /> Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> El Pressure Grout' Over <br /> tD�rill Filter Pack Type/Size: <br /> ❑ Gravity ()L'JTr mie e DOther: Type of Method: <br /> Water Cement 71b Water Cement 94lb <br /> allons Bags ivallons Bags <br /> Thickest Thinnest .1 Bags Thickest Thinnest 0Bags 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 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> Iv 1 b 61 S 10/16/2017 <br /> b�S <br /> 1868 E. Hazelton Avenue S ckton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s*cehd.com <br />