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SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: fi M/14 Inspector: CONSTRUCTION <br /> Facility Address: j <br /> Well Address: 24G00 SkWS=4 AM Total Depth: us, � <br /> WP#-7.P � Well#: Drilling Rig Type: 6tt <br /> Soil Boring#: WI w—64 Min 2"Annular EHD Seal Verified: IF Yes ❑No <br /> Drilling Company: t-Ct4 a ld a �r;tltrti Screen Length From: y tt To: 33 , <br /> Driller Onsite: �/ Csra e <br /> Consultant:— �u✓4aylt5 Filter Pack From:-45 t To: 31 t <br /> Geologist: 4 LC4 IdV6(A,-)- Bentonite From: 24 To: 26 1 <br /> Grout From: UP To:__ <br /> Public Water System Onsite: ❑Yes ❑No kvcwr51kt. l 1C."" pc"^ It, 4ti 2M <br /> COMPLETION ❑ Stove Pipe QIChristie Box <br /> Domestic Well Onsite: ❑Yes ❑No casing <br /> If yes,location and distance: height <br /> SAMPLING ABOVEGROUND <br /> COI.WLETwN COMPLE-BO <br /> Holding Temperature: coMaierioN <br /> Method: Orwnd Surlacs + <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes ❑No �ft• <br /> n. <br /> SPOILS <br /> _ a <br /> Contamination Noted: ❑ Yes ❑No <br /> ;'T, <br /> If yes,spoils storage Location: aioltad ; __ <br /> tac7on f = 8 <br /> Covered: El Yes ❑No _ gravel Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: A60 #• — TM <br /> Grout Material: ✓1CG4 Ce wiro% MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: '�'l 1 S n.u� Casing Type: Ql/L <br /> ISWell Installation ❑Well Destruction Blank 3'3 t Feet Screen 10 Feet <br /> `` Slot Size: .0110 <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: G-?�s <br /> METHOD USED Bags Sand/Gravel: 5�JNOS V ( loan, a-P l,c..15lf2twr Su+.N <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentoni�l tJu Ce4Ca 1.anr4 4.l.Lar� <br /> Filter Pack Type/Size: <br /> I?Gravity ❑Tremie ❑Other: Type of Method: <br /> Water a Water Cement 941b <br /> allons ealkins Bags <br /> Thickest Thinnest »Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 lBentonite per47lb 1.411 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 /> 30 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 B 40 00 0 <br /> 6. --7S iouy 3 "SLPul 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 />