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SAN JOAQUIN <br /> :�. Environmental Health Department <br /> " —COUNTY <br /> O9cP' Greatness grows herd <br /> Monitoring Well/Soil Boring Inspection Report <br /> __P <br /> Date:Pddress:;2? <br /> Z Inspector: / 1 CONSTRUCTION <br /> Facilit Vl 5,+. <br /> Well Address: d,.- Total Depth: <br /> WIP 0 Hl 81 —We ll#:5 Ie�f-04 -Cl, Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: [I Yes []No <br /> Drilling Company: G <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Vi Filter Pack From: To: <br /> Geologist: `yt 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLET1ON COMPtu=srCN <br /> Method: Ground surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No eft• <br /> ft. <br /> tt. <br /> SPOILS _ <br /> = m <br /> Contamination Noted: ❑ Yes ❑No — <br /> r <br /> If yes, spoils storage Location: <br /> aac'cn _ <br /> Covered: ❑ Yes []No <br /> If yes, material: L� Q <br /> GROUTING or DESTRUCTION To I Depth: L <br /> Depth to Water: L4 F <br /> Grout Material: <br /> Gallons of Grout Used: ^� �© qA,+ MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ''Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure GroutlOver Drill Filter Pack Type/Size: <br /> ❑ Gravity Tremie ❑Other: Type of Method: <br /> Water Cement 471h Water Cement 941b <br /> gallons sags gallons Bag <br /> Thickest Thinnest 9Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 55% 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 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 I may, <br /> 12.5 25 5 25 50 5 ��� I \t4 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 1 80 8 / �� I <br /> 3� �S �� �✓f n � F �0 10/16/201��� <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 4 4-0138 www.sfcehd.com yt 9 10µ <br />