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SAN JUAUUIN Environmental Health Department <br /> —COUNTY - <br /> \ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: G -a,f,L-2_ Inspector: CONSTRUCTION <br /> Facility Address: 30`O <br /> Well Address: Total Depth: <br /> W P#(,a N33 Z Well#: Drilling Rig Type: <br /> Soil Boring#: LF-Lt -00(* <br /> Drilling Company: Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: ,..� Screen Length From: To: <br /> Consultant: ,:�:/1r, AA U fir Filter Pack From: To: <br /> Geologist: :1--QA Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GIRCUND CHR__ <br /> Holding Temperature: CONFLErlON COMPLET10N <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> tt. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: .toga <br /> soon <br /> Covered: ❑ Yes ❑No <br /> grz�w Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: If= <br /> _ <br /> EI IF <br /> Depth to Water: ft tt' <br /> Grout Material: <br /> Gallons of Grout Used: AIXJt 7- nqi(" MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> ,��ff Filter Pack Type/Size: <br /> El Gravity LlTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas Fall ons Ba s <br /> Thickest Thinnest RBags Thickest Thinnest ttBags 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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slcehd.com <br />