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_'°'�°, SAN JOAQUIN <br /> Environmental Health Department <br /> "1 COUNTY-'14--wo Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:J� Inspector: s,40-"' CONSTRUCTION <br /> Facility Address: • <br /> Well Address: Total Depth: <br /> WP# e1,U Well#: Drilling Rig Type: <br /> Soil Boring#: aL Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ef/xt <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: a 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: IT height <br /> 59 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION O PLETION <br /> Method: Ground S"w* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �tt' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> C <br /> If yes, spoils storage Location: slatted <br /> aeon x <br /> Covered: ❑ Yes ❑No _ gr,-4 Pax* <br /> If yes, material: +' <br /> GROUTING or DESTRUCTION Total Depth: J-R5 <br /> Depth to Water: *D & ..140u ' 'ft <br /> — ft. <br /> Grout Material: A/wee-1 ee.,cw <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> —/ Filter Pack Type/Size: <br /> El Gravity 01remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> ns 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 Ib 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 /> "C_7 5 <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.secehd.com <br />