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= cJOAQUIN 4z SK <br /> ( Environmental Health Department <br /> —COU NTY- <br /> �� � Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility dres : AU-1 <br /> Well Address: Total Depth: <br /> W P# 0 Q Well#: (�� Drilling Rig Type: <br /> Soil Boring#: - �a `✓ Min 2"Annular EHD Seal Verified: ElYes 11 No <br /> Drilling Company: <br /> Driller Onsite: L t v ' Screen Length From: To: <br /> Filter Pack From: <br /> Consultant: LLL,-k.— <br /> Geologist: I�a,�(-LY�. 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CEMN <br /> Method: GroundSufac* + <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes [I No <br /> If yes, spoils storage Location: sb�d _ 3 <br /> soon <br /> Covered: ❑ Yes El No = 9-01 Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTI N Total Dpth: �' � —" <br /> IF <br /> Depth to Water: (A-t t n- n' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction ; Blank Feet Screen Feet <br /> ❑Boring Installation Aoring Destructio N� Slot Size:� 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 e ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gall ons Bags <br /> Thickest Thinn st 8B Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.821 4.7 <br /> 7.5 15 1 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 1 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 8 1 40 1 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />