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SANJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness <br /> COUNTY— <br /> Greatness grows fere. <br /> J Monitoring Well/Soil Boring Inspection Report <br /> Date: �( Z Ins ector: S K-i CONSTRUCTION <br /> Facility Address: o am me-y'L-�­) 5tOzfC11'- <br /> Well Address: Total Depth: <br /> WP# (li tylo WFII# 0'- Drilling Rig Type: <br /> Soil Boring#: �� —Z.�� i' ��— Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ('Y'V j' <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: '8 Filter Pack From: To: <br /> Geologist: c ,OL%" 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 AWVE.Gaourtn <br /> Holding Temperature: COMPLETION <br /> COMPLETION <br /> Method: Ground su facs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> ft- <br /> SPOILS <br /> =_ <br /> Contamination Noted: ❑ Yes ❑No _ <br /> If yes,spoils storage Location: x: _= <br /> 0 <br /> satzon <br /> Covered: ❑ Yes El No <br /> gravat pads <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: '"' n _ n <br /> Grout Material: C2 <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 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 KTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba vall ons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest HBags Bentonite/Cement Mix 3% Mix 55% Mix <br /> 1.5 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 30 3 <br /> 10 20 4 40 4 <br /> 12.5 15 5 50 5 <br /> 15 30 6 60 6 <br /> 17.5 35 7 70 7 <br /> 20 40 B :4] 80 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.secehd.com <br />