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°_ SANAAQUIN <br /> i` r- s —COUNTY— Environmental Health Department <br /> Greatness grows here. <br /> ip Monitoring Well/Soil Boring Inspection Report <br /> Datet2 <br /> �/� Ins ector: - CONSTRUCTION <br /> Facility Ad res . C BL� -0 W /N t lqq / 2 <br /> Well Address: PM' �V Of1 S . .Pd Total Depth: 17 f <br /> QQ WP# k�4 Qf r� jc Lie Well#:� Drilling Rig Type: � ✓n L AA <br /> wet Drilling Company: Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Driller Onsite: S Q Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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 �EJ -GqOUNc CHRMTY43Ox <br /> Holding Temperature: COLPLETION COMPLErioN 1� <br /> Method: <br /> Screening Method: <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> SPOILS _ Zkq 'PS <br /> 1 <br /> f go Y <br /> Contamination Noted: El Yes ❑No as _ ZI� <br /> If yes, spoils storage Location: xionea <br /> skJon = 3 4" <br /> Covered: ❑ Yes ❑No N Pack 4e< I'f"1 <br /> If yes, material: 2t = 2. 4,% c) t4a <br /> GROUTING or DESTRUCTION Total Depth: a�i l(prs <br /> Depth to Water: I _tL tt' 1031' <br /> Grout Material: 5Ch es ; sewtd t <br /> MATERIALS DEVELOPMENT scs} fa(3 <br /> Gallons of Grout Used: <br /> Casing Type: tD�? <br /> "Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Desl ruction Slot Size: <br /> CS i 0 , gMtLNr a ags of Cement: <br /> METHOD USED g � } It (26 6 ags Sand/Gravel: <br /> sz m 9+-C I xtic e/Brand of Bentonite: <br /> { o 1, 4.. r, �ltes <br /> ❑Pressure Grout ❑OverDnll — <br /> So-G Xq s,, r --after ackType/Size: <br /> ❑ Gravity remieg ' ' $ 3"zG- Z 3q Type of Method: <br /> t�� y� <br /> Water Cement I s�s W2fer Ce eM,.,� J� Q ►''['u{�D/ A � t� <br /> allans b to <br /> Thickest Thinnest 4Bogs Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix !%.47 <br /> Mix <br /> IS 5 1 5 10 1 I"tom Bentonite per 471b 1.41 <br /> 5 10 2 10 20 2 a F Bentonite per 941b 2.82 .7 <br /> 7.5 15 3 35 30 3 rn <br /> 10 20 4 20 40 4 �1,�, <br /> 12.5 25 5 25 50 5 10 l ) s <br /> 15 30 7 30 70 7 'D- t- (k 1 <br /> 20 35 7 35 70 7 V"'^"'U�) /� <br /> 20 40 8 40 60 8 � 'T�(y <br /> l�ry/�' 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 WWW.s cehd.com <br /> L <br />