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SANJOAQUIN <br /> f <br /> Oi —COUNTY— 2-LL�Ub'�L w-Z6AInvironmental Health Department° � ;�_ t <br /> Greatness grows here. �Y3 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: tC K'z7 Inspector: N�arvt^' CONSTRUCTION <br /> Facility Address: (OL /1pin1 <br /> Well Address: Total Depth: <br /> WPN ZyLIMaI WellM-&—' CItMW- Drilling Rig Type: <br /> Soil Cfi: z6 <br /> Drillinging Company:. Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> R-SA <br /> Driller Onsite: ln o Screen Length From: To: <br /> Consultant: ��' 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 -r casing <br /> If yes, location and distance: height <br /> SAMPLING neovE i;RtwNC <br /> COWLET10N CHRISTY•30X <br /> Holding Temperature: COMPLETION <br /> Method: ora na sutac. T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �n• <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No Y° <br /> '' <br /> F �' = . <br /> If yes,spoils storage Location: sbrcsa <br /> Covered: ❑ Yes El No ►4c3en $ <br /> grad pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: 1g6W1v l <br /> Depth to Water: f7 <br /> Grout Material: IV'emrjo�- <br /> Gallons of Grout Used: /4't7 I MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation *Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size:Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Kressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> },� Filter Pack Type/Size: <br /> ElJ Gravity Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallons Ba s <br /> Thickest Thinnest aBags Thickest Thinnest #Bags BentonttelCement MIX 3-%/ MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> s 10 2 10 20 2 Benionite per 94 lb 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 /> is 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 0 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.socehd.com <br />