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U '" °o <br /> z SAN JOAQUINIs <br /> � <br /> it, <br /> Environmental Health Department <br /> " I L ` .'.-' ' � COUNTY <br /> y���iFoa?`Pr Greatness grows here . <br /> Monitoring Well / Soil Boring Inspection Report • • e10 — /e),00/ ; a <br /> Date : 3 ' Ly ZO Inspector : /146W:046. CONSTRUCTION <br /> Facility Address : 9dT jC AV B�4n-(n <br /> Well Address : Total Depth : <br /> WP #_DD I/ / 7 // Well # : Drilling Rig Type . <br /> Soil Boring# . `rdP — Zlv, Z7 Z$ , Min 2 " Annular EHD Seal Verified : 1:1 Yes ❑ No <br /> Drilling Company : <br /> Driller Onsite : OV Screen Length From : To : <br /> Consultant : Filter Pack From : To : <br /> Geologist : / idBentonite 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-GROUND <br /> Holding Temperature : CO ' �1ON COMPLEnON <br /> Method : Ground Surface <br /> Screening Method , groat <br /> Verified Chain of Custody : ❑ Yes El No 4 1 ft* <br /> He <br /> it. <br /> SPOILS = <br /> m <br /> Contamination Noted : ❑ Yes ❑ No0t,7 "X ' <br /> If yes , spoils storage Location : Dz;e� / s = o <br /> Covered : <br /> El Yes El No ol� � z0 � ' '� n <br /> vav + Pack <br /> If yes , materials _ <br /> vesionswisGROUTING or DESTRUCTION Total Depth : ` <br /> Depth to Water : �sssssssn• <br /> Grout Material : TT � piss � MATERIALS/ DEVELOPMENT <br /> Gallons of Grout Used : / ' S . 21� _ / 1f Z� �' Casing Type : <br /> ❑ Well Installation ❑ Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size : <br /> Boring Installation E40ring Destruction Bags Sizes <br /> Cement : <br /> METHOD USED Bags Sand / Gravel : <br /> Type/ Brand of Bentonite : <br /> ❑ Pressure Grouter�❑ Over Drill Filter Pack Type/Size : <br /> El Gravity IJTremie El Others Type of Method : <br /> water Cement 471b Water Cement 941b <br /> allons Bas Rallons Bags <br /> Thickest Thinnest 4Bags 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 z 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 /> 115 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17s5 35 1 7 35 70 7 <br /> 20 40 1 8 1 40 80 8 <br /> 10/ 16 / 2017 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464- 0138 1 www . socehd . com <br />