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iau!N c <br /> SAN�10AQUIN <br /> Environmental Health Department <br /> l —COU NTY <br /> eiFP' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �/�S�< Inspector: hAe L'&� CONSTRUCTION <br /> Facility Address: 211 NJ• dak beet <br /> Well Address: Total Depth: <br /> WP#0091676 Well#: 5VE4 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: /D, Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: w.Ll Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 1/�.i,'•�e1- DXe%OG •C Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El 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: COWLErION COMPLETION <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No -n• <br /> n. <br /> n. <br /> SPOILS = <br /> = o <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: slotted <br /> sac'on <br /> Covered: ❑ Yes ❑No = „d <br /> If yes, material: 'x <br /> GROUTING or DESTRUCTION Total Depth: 23 <br /> Depth to Water: A10 arj4wvhr <br /> Grout Material: A/ emtrr{ <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation [Hell Destruction Blank Feet Screen Feet <br /> ❑ ❑Boring Destruction 1A)9 e: <br /> ��Boring Installation Bags Slot Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> lGravity ❑Tremie ❑Other: Type of Method: <br /> hro�h <br /> r Cement 471b Water Cement 941b <br /> allongallons Bags <br /> Thi Thinnest uBags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 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 <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 1 8 <br /> 2 110 9 W" 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />