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•r ^I O�°VINC <br /> °l SANbJOAQUIN Environmental Health Department <br /> t�•-�`�_ COUNTY— <br /> \pnowso� Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 6-12—Lcf Inspector:n/y97s6-61+., CONSTRUCTION <br /> Facility Address: SAC- Sul <br /> Well Address: Total Depth: <br /> WP# 7yC1g V Well#: &—letA Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Ile, g 9 <br /> DrillerOnsite: 141,4 e Screen Length From: To: <br /> Consultant: C Filter Pack From: To: <br /> Geologist: Q/i t10 e/' 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 T. <br /> SAMPLING ABOVE-GROUND T <br /> COWLETION c 80x <br /> Holding Temperature: cot�talEompi.ETioN <br /> Method: or°ond s:lace ,F— <br /> Screening Method: orout <br /> Verified Chain of Custody: ❑ Yes ❑No n <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No ° <br /> If yes,spoils storage Location: or " = d <br /> section 'LI = 8 <br /> Covered: ❑ Yes ❑NoV-vw Pack <br /> =_ <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth:_ <br /> Depth to Water: <br /> Grout Material: A/>^ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: yo�g11AA1 <br /> Casing Type: <br /> ❑Well Installation kWell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> V�Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 9-Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags Rations Bags <br /> Thickest Thinnest NBags Thickest Thinnest #Bags Bentonite/Cement MIX 3% MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 1 2.821 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com I <br />