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" �_ SANPIOAQUIN <br /> �'� "c _ Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 LI IM I Inspector: CONSTRUCTION <br /> Facility Address: Ry Ckr <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring <br /> Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: iFi LJtg cl Screen Length From: To: <br /> Consultant: Ll U Ed1 '; e ' ' ry La' lr�C_ <br /> Filter Pack From: To: <br /> Geologist: ��(j(�tBentonite 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: 3 7 height <br /> ilii <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLETION c�t.�loN <br /> Method: Ground Sudace <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No — <br /> C <br /> If yes, spoils storage Location: •btt" <br /> aeon <br /> Covered: ❑ Yes []No <br /> If yes, material: <br /> GROUTING or 9F,�TRUCTICIJN Total epth:_� 5(+ <br /> Depth to Wate �6 t i ' _ I n• — n' <br /> Grout Material: N. <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation�oring Destruction L Bags iz Cement: <br /> METHOD USED <br /> I , / Bags Sand/Gravel: <br /> ElPressure Grout ❑Over Drill �/� ` Type/Brand of Bentonite: <br /> r Filter Pack Type/Size: <br /> ❑ Gravity Wemie ❑Other: TV Type of Method: <br /> Water ement 471b Water Cement 94lb <br /> allons Bas allons Bags <br /> Thickest Thinnest uB Thickest Thinnest Bags 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />