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r <br /> SAN�lOAQUIN <br /> r� Environmental Health Department <br /> COUNTY <br /> \`uP' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 7'h Inspector: �� CONSTRUCTION <br /> Facility Address: Za 41.P,'I'c. ca <br /> Well Address: Total Depth: <br /> WP# lX 4 Well#: Drilling Rig Type: <br /> Soil Boring#: � 7 _ /o <br /> Drilling Company: �� Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: a /,:,I.f tv 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 <br /> SAMPLING ABOVE-GROUND <br /> CHR Holding Temperature: COWL6r10N cocain-E- no_N <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No 4, -n <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No =' <br /> If yes, spoils storage Location: <br /> slotted — � <br /> s*cdon <` <br /> Covered: ❑ Yes ❑No 4~ _ gravel <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION To al Depth: 16)I (40, <br /> Depth to Water: eh <br /> Grout Material: Al ce <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: /0— Z�l,9ccl1°4i� Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity XTremie Othe : Type of Method: <br /> 5"W�756� <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 9Bags 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 Ib 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 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 <br />