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4t <br /> SAN JOAQUII, Environmental H <br /> —COUNTY ealth Department <br /> greatness grows here. <br /> �} �f <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 A 2120 1 Inspector: U\ CONSTRUCTION <br /> Facility Address: �-� COL I , /, <br /> Well Addres �'Z'r7 foe l��itIcl4,Total Depth: �'(�j <br /> WP# _ Well#:J� � Drilling Rig Type: <br /> Soil Boring#: � <br /> Drilling Company: WOL— � , <br /> Min 2" Annular EHD Seal Verified: yl hes 11 No <br /> Screen Length From: . t4b To:__� <br /> Driller Onsite: /4 ' r <br /> Consultant: Filter Pack From:_4� To: 1 <br /> Bentonite From: <br /> Geologist: `S --�� To: <br /> Grout From: Z Cj To: > CP <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: WT <br /> height <br /> SAMPLING ABOVE-GRC7UND _ <br /> Holding Temperature: CO&FLETION COMPUEMON <br /> Method: G=nd 5w'(acs <br /> Screening Method: er«n� c 3Z. <br /> 30 <br /> Verified Chain of Custody: El Yes El No ft VN iA <br /> SPOILSDOQG <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: �� = 3 co <br /> soc:on F _ S(M <br /> Covered: ❑ Yes ❑Nogra- .d <br /> pack <br /> If yes, material: _ #� <br /> GROUTING or DESTRUCTION Total Depth: _= <br /> Depth to Water: n• tt- <br /> Grout Material: -4✓ 1�en e <br /> N,340MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: t,_,A <br /> Casing Type: �G -r S�'�+rt(es-S 5teVx SCyew <br /> Well Installation ❑Well Destruction Blank 13 11 Feet Screen 10 Feet <br /> Slot Size: <br /> 0 , C, Z <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: `1 <br /> ❑Pressure Grout ❑Over Drill <br /> Type/Brand of Bentonite: &A✓iM �75 a'17p <br /> Filter Pack Type/Size: o �J <br /> ❑ Gravity b�Jremie ❑Other: Type of Method: P <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest at Bags Thickest Thinnest uBags 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 (� JJy <br /> 12.5 25 5 25 SO 5 C 0 <br /> 15 30 6 30 60 6 ) 50 L� b <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 /q K 50 16 6A <br /> �0 22(� �all�rn Wcj+er 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468- 420 I F 209 4 - www.slcehd.com <br />