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SAN JOAQUIN Environmental Health Department <br /> COUNTY-- <br /> °4r,F�aN"' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: "VviCONSTRUCTION <br /> Facility Address: Q4U S. �wl <br /> Well Add res Total Depth: <br /> WP# '{ Well#: Drilling Rig Type: <br /> Soil Boring#: Q Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: em's h <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Y=ca�7u r� Filter Pack From: To: <br /> Geologist: 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 El No casing <br /> If yes, location and distance: 17 height <br /> SAMPLING ABOVEGROUND CHM__ <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: Ground Sudacs <br /> Screening Method: e7zgrout <br /> Verified Chain of Custody: ❑ Yes ❑No -y---N. <br /> SPOILS w <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes,spoils storage Location: slotted <br /> s*c,jon -- <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �� y� � 2 g�I6g/1 11 Z' <br /> Depth to Water: — � 1 ft. 21 <br /> 4 <br /> Grout Material: il <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation XBoring Destruction <br /> Bags of Cement: <br /> METHOD USED \C \ �� Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> []Pressure Grout ❑Over Drill ` O Filter Pack Type/Size: <br /> El Gravity KTremie ❑Other: n' Type of Method: <br /> 31- <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest NBags 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 15 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 1 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.socehd.com <br />