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a ra pL2 SAN.DIOAQUIN <br />Environmental Health Department <br />COUNTY <br />P�ciPr" Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 7'14- Z l Inspector: <br />Facility Address: gnP& c51671t <br />Well Address: <br />WP# LL d Well#: <br />Soil Boring#: <br />Drilling Company: toLL- Q*S <br />Driller Onsite: Vn <br />Consultant: ; 67 <br />Geologist: f!G✓'W— <br />Public Water System Onsite: ❑ Yes 11 No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />MTS1110 <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes ❑No <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes El No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />COMPLETION ❑ Stove Pipe ❑Christie Box <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: -41-e <br />ZO <br />���,� n• <br />[- <br />/to Aof <br />Thickest Thinnest <br />Grout Material: C"Ve <br />Gallons of Grout Used: <br />MATERIALS/DEVELOPMENT <br />1 <br />Casing Type: <br />❑Well Installation ❑Well Destruction <br />Blank Feet <br />❑Boring Installation boring Destruction <br />Slot Size: <br />iz <br />2 <br />Bags Cement: <br />METHOD USED <br />Bags Sand/Gravel: <br />3 <br />Type/Brand of Bentonite: <br />❑Pressure Grout ❑Over Drill <br />_ <br />Filter Pack Type/Size: <br />[Gravity ❑Tremie ❑Other: <br />Type of Method: <br />Water <br />Cement 471b <br />Water <br />allons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />uBags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />2 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />Screen Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />0 6JS 10/16/2017 <br />1868 E. Haze hon venue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.s*cehd.com <br />