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SAN10A UIN• Environmental Health Department <br />T _ <br />--COUNTY— <br />1; n „ns;s <br />Monitoring Well/Soil Boring Inspection Report <br />Date: IL674Vinspector: <br />Facility Addres : L'I q,4 N . W 14-V5nL:V Gln <br />Well Address: JA -Ma <br />WP# 00'�,` L L Well#: MR( - <br />Soil Boring#: <br />Drilling Company: 'e -T i1 T.A'c <br />Driller Onsite: ecti <br />Consultant: AP:1:1 <br />Geologist: 44&1.4 Pxw,f <br />Public Water System Onsite: ❑ Yes 0 N <br />Domestic Well Onsite: ❑ Yes <br />if yes, location and distance: <br />❑No <br />SAMPLING <br />From:_3 _6�%< <br />Holding Temperature: <br />Cement 941b <br />Bags <br />Method: <br />RBags <br />Screening Method: <br />4Bags <br />Verified Chain of Custody: ❑ Yes <br />El No <br />SPOILS <br />5 <br />Contamination Noted: ❑ Yes <br />El No <br />If yes, spoils storage Location: <br />10 <br />Covered: ❑ Yes <br />❑No <br />If yes, material: <br />2 <br />GROUTING or DESTRUCTION Total Depth: "q(.2by <br />vi'g <br />Depth to Water: <br />15 <br />Grout Material: fU4I01' Ce–m,n,T' <br />3 <br />Gallons of Grout Used: 225 <br />20 <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation El Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity '*remie ❑Other: <br />Water <br />gallons <br />[Yes ❑No <br />Cement 471b <br />From:_3 _6�%< <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />RBags <br />Thickest Thinnest <br />4Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 1 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />6 <br />40 <br />80 <br />8 <br />CONSTRUCTION <br />f <br />Total Depth: ZZ <br />Drilling Rig Type: DZ <br />Min 2" Annular EHD Seal Verified: <br />[Yes ❑No <br />Screen Length <br />From:_3 _6�%< <br />To: 3bg ix <br />Filter Pack <br />From: '-IS3Cf rTo: <br />83' <br />Bentonite <br />From: -�a,�� <br />To: T <br />Grout <br />From: 2'*6 <br />To: <br />COMPLETION <br />Stove Pipe <br />❑Christie Box <br />32sg% M <br />MATERIALS/DEVELOPMENT <br />Casing Type: PVC "m;*eour- <br />Blank" Feet Screen 7n Feet <br />Slot Size: <br />Bags of Cement: 40 <br />Bags Sand/Gravel: Lf <br />Type/Brand of Bentonite: PEL PLUC, FEIin <br />Filter Pack Type/Size: Cs e%6 j A #3 <br />Type of Method: <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 />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />