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$QKdOAQUIN <br />Environmental Health Department <br />---COUNTY— <br />Cement 941b <br />Bags <br />''S94FUpy;'' Greatness Zi"rJng <br /># <br />6 I ector: <br />Sp <br />Date:4Ad <br />1N-eEf/Soil Boring Inspection Report <br />CONSTRUCTION <br />Facilitess:Lia, L2W <br />1 <br />Well Address: <br />Total Depth: <br />WP#)(7�W Well#: <br />Drilling Rig Type: <br />Soil Boring#: <br />Min 2" Annular EHD Seal Verified: El Yes ❑No <br />Drilling Company: f � 1 �' <br />y <br />Driller Onsite:✓�i'.Screen <br />Length From: To: <br />Consultant: &jj�cvql m a <br />Filter Pack From: To: <br />Geologist: <br />J Bentonite From: To: <br />12.5 25 <br />Grout From: To: <br />Public Water System Onsite: ❑ Yes <br />El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />CAKAPI IN(. <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: v ` <br />Gallons of Grout Used: all <br />❑Well Installation .Well Destruction <br />[]Boring Installation ❑Boring Destruction <br />RAPTWnn I ICFn <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />C ent 47 b <br />BaIVAons <br />Water <br />Cement 941b <br />Bags <br />Thickest Thinnest <br /># <br />Thickest Thinnest <br />VBags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />ft, <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />ft. <br />Screen Feet <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 />