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1 ' <br />.n OC9INC. <br /> SANdOAQUIN i'•ti —COUNTY— <br /> Environmental Health Department <br /> I' '_� <br /> •-_ <br /> Greatness grolvs here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: &-5-2-f Inspector: M'&6L" CONSTRUCTION <br /> Facility Address: <br /> Well Address: 6-6 L nn Total Depth: <br /> WP# -Z 0-51 Well#:^Q��� Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: V—CfAtoetLO 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: N height <br /> SAMPLING A80VEC3R[x]ND <br /> co6rLE'rloN cNalsrEMON <br /> Holding Temperature: coMPLErION <br /> Method: C3round su lag <br /> Screening Method: ur«n <br /> Verified Chain of Custody: ❑ Yes ❑Nott• <br /> tt. <br /> SPOILS <br /> Contamination Noted: El Yes ❑No <br /> If yes,spoils storage Location: ' <br /> 4wnad p = B <br /> Covered: ❑Yes El No 0" Ii <br /> way Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: if 3 <br /> Depth to Water: <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 7U/�+r( O �Q <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Xoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity Xremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 9411a <br /> allons Bags gallons Bags <br /> Thickest Thinnest peags Thickest Thinnest aeaq: Bentonite/Cement MIX 3%MiX 5% MIX <br /> 2.5 5 ] s 10 ] Bentonite per471b 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 1 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 30 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 1 Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />