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SAN _JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> �1 I <br /> 11Rnitoring Well/Soil Boring Inspection Report <br /> Date: ` l 2�u Inspector: CONSTRUCTION <br /> Facility Address: \ O <br /> Well Address: sgJ,� t S f�-R�E—_ Total Depth: <br /> WP# .25? Well#: AU/A Drilling Rig Type: <br /> Soil Boring#:Wit(. Min 2"Annular EHD Seal Verified: ❑ Yes [I No <br /> Drilling Company: 1�� �.1 Screen Length From: To: <br /> Driller Onsite: \1� <br /> Consultant: Filter Pack From: To: <br /> Geologist: ���n cm 10 v, Grout <br /> 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: 1HT height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: CONPLETION COMPLETiON <br /> Method: Gnxind Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft' <br /> fi. <br /> SPOILS <br /> Contamination Noted: ❑ Yes /No = r <br /> If yes, spoils storage Location: slotted <br /> sacJan =a = <br /> Covered: ❑ Yes No ` <br /> sxsw+pack <br /> If yes, material: = .. <br /> GROUTING or DESTRUCTION Total Depth:2.1 <br /> Depth to Water: tt. <br /> Grout Material: 1,S�6_04�< _ <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation 7ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installationring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity /]Tremie []Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Bas gallons 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 Ib 1.41 2.47 <br /> s 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 35 70 7 <br /> 20 0 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.slcehd.com <br />