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SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness groves here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: MWZ4 Inspector: f'L)'L-eG4 CONSTRUCTION <br /> Facility Address: 7,(.Gri Shyvisl.s K,C' <br /> Well Address: Total Depth: <br /> WP#4 7z4Wt6u1 Well#: Drilling Rig Type: <br /> Soil Boring#: W-GS <br /> Drilling Company: Cvt e Clw•. <br /> r�tt1 Min 2"Annular EHD Seal Verified: El Yes ONO <br /> Driller Onsite: Z;"-O Screen Length From: To: <br /> Consultant: Pcta-5ck5 Filter Pack From: To: <br /> Geologist: �9 tea,n Bentonite From: To: <br /> Grout From: To: <br /> I <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> EE--J <br /> SAMPLING _CWT <br /> ABOVEGROUND <br /> Holding Temperature: COhPLETION COMPLETION <br /> Method: around S`Nao'.--s—� <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No Sett, <br /> tt. <br /> SPOILS <br /> M = e <br /> Contamination Noted: ❑ Yes El No <` <br /> If yes,spoils storage Location: = s <br /> lecdo — 3 <br /> sarian <br /> Covered: ❑Yes []No It( _ t>nvolvack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: Vtee44L CE4Mew� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation C�Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity 7rXrTremie ❑Other: Type of Method: <br /> Water Cement471b Water Cement941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest 71 Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per47lb 1.41 2A7 <br /> s 10 2 10 20 2 Bentonite per 94 lb 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 xC�IV('N }t,t to "CAL, dp Q ✓LN}- W 1, <br /> 4CtAL <br /> 15 30 6 30 60 6 U (� (J t1 V <br /> 17.5 35 7 35 70 7 VAI C. <br /> r 1 <br /> 1-D' S kI p p y <br /> 20 40 8 40 80 8 <br /> 91"5 G 5✓tok L'iPt., / 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 />