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°° °°° SANsJOAQUIN <br /> j _ Environmental Health Department <br /> • l" COUNTY- <br /> 4.r <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: WIZOIN Inspector: k Liellctj CONSTRUCTION <br /> Facility Address: UW $4-twisow 01 <br /> Well Address: Total Depth: 45 i <br /> WP# Aawt63 Well#: Drilling Rig Type: <br /> 6 " <br /> Soil Boring#: Mw-Ub <br /> Drilling Company: PCvie(dn�e pJeitlt , Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> DrillerOnsite: jo.4 le Screen Length From: 4V To: 3� t <br /> Filter Pack From: 1 To: 3 �/ <br /> Consultant: p S � <br /> Geologist: Alltoo Bentonite From: To: -25' <br /> Grout From: �` l To: G 1 <br /> Public Water System Onsite: ❑ Yes ❑No ZI <br /> y COMPLETION ❑ Stove Pipe Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: M height <br /> SAMPLING ABOVE-ORCUNO <br /> C061PLErlON COMPLETIO <br /> Holding Temperature: corna�TioN <br /> Method: Orswndsu ixa �--- j <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes El No S�ft• <br /> ft. <br /> eft. <br /> SPOILS <br /> V a <br /> t p <br /> Contamination Noted: El Yes ❑No = <br /> If yes,spoils storage Location: <br /> 0 <br /> &brad <br /> aaCJon <br /> Covered: ❑ Yes ❑No = gravel <br /> Pack <br /> If yes, material: c .. <br /> GROUTING or DESTRUCTION Total Depth: sl _ <br /> Depth to Water: VI/� ft• — ft <br /> Grout Material: VI&Af (jqM*&, ! <br /> Gallons of Grout Used: icy DC4 MATERIALS DEVELOPMENT <br /> Casing Type: V VC. <br /> '*Nell Installation ❑Well Destruction Blank 321 Feet Screen l�l� Feet <br /> Slot Size: ,o t 0 <br /> ❑Boring Installation El Boring Destruction gags of Cement: Sloeftds <br /> METHOD USED Bags Sand/Gravel: �i ugSt�.S NI <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: o <br /> Filter Pack Type/Size: <br /> ❑ Gravity LPCTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94Ib <br /> sailors; Bags eallons Ba s <br /> Thickest Thinnest 4Bags Thickest Thinnest uBags Bentonite/Cement Mix 3% MIX 5%Mix <br /> 2.5 s 1 5 10 1 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 z 1 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 11.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 3s 7 35 70 7 <br /> 10 40 1"6 40 80 8 <br /> 5• 5 I GyS 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 />