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SAN JOAQUIN Environmental Health Department <br /> COUNTY — <br /> Greatness grows here . <br /> Monitoring Well / Soil Boring Inspection Report <br /> Date : ,3 'yy ' 70� Inspector . //'solG.'. CONSTRUCTION iT"` S= �!O <br /> Facility Address : go � N /l. y 8 a .. ty �? !�✓`t - � ' �� <br /> Well Address , Total Depth : <br /> WP # 4o 411711 Well # : Drilling Rig Type : <br /> Soil Boring# , OXP- / <br /> Min 2 " Annular EHD Seal Verified : El Yes [] No <br /> Drilling Company , Coat &w'e 'n 2 ze- % '� <br /> Driller Onsite : y i � 01 Screen Length From : To : <br /> Filter Pack From : To : <br /> Consultant : <br /> Geologist : eG� K/` � .� 40tyll , 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-GROUND _ <br /> Holding Temperature : COMPLETION COMPLETION <br /> Method : Ground Suriacs <br /> Of <br /> Screening Method , grout <br /> Verified Chain of Custody : ❑ Yes ❑ No fto <br /> it. <br /> ft. <br /> SPOILS = <br /> Contamination Noted : ❑ Yes ❑ No AO = m <br /> - C <br /> If yes , spoils storage Location : <br /> : bttad — <br /> secdon <br /> Covered : ❑ Yes El No = QMV91 <br /> Pack <br /> If yes , material : — <br /> GROUTING or DESTRUCTION Total Depth . <br /> ii <br /> Depth to Water : 7 <br /> • . .K ft. <br /> Grout Material : ���C <br /> Gallons of Grout Used : ti Z MATERIALS / DEVELOPMENT <br /> Casing Type : <br /> ❑ Well Installation ❑ Well Destruction Blank Feet Screen Feet <br /> Sizes <br /> El Boring Installation VBoring Destruction Bags Slot Siziz Cement : <br /> METHOD USED Bags Sand / Gravel . <br /> Type/ Brand of Bentonite : <br /> ❑ Pressure Grout ❑ Over Drill Filter Pack Type/Size : <br /> ❑ Gravity Cifremie ❑ Other : Type of Method : <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Fallons Bags <br /> Thickest Thinnest Bags Thickest Thinnest Bags Bentonite/Cement Mix 3 % Mix 5 % Mix <br /> 2 . 5 5 1 5 10 1 Bentonite per 47 Ib 1 .41 2047 <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 T 209 468 - 3420 F 209 464 - 0138 www . slcehd . com <br />