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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:41 7,4 Inspector: µ•1� CONSTRUCTION <br /> Facility Address: 7_000 5 `i"% c ovt <br /> Well Address: Total Depth: <br /> WP# 14 0 (64 Well#: Drilling Rig Type: <br /> Soil Boring#: GI-G w.O <br /> Drilling Company: pe✓te ✓� Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: a)a'" t Screen Length From: To: <br /> Consultant: 9a✓S.�IK5 Filter Pack From: To: <br /> Geologist: h l'otn 9.t✓� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO <br /> casing <br /> If yes,location and distance: � height <br /> SAMPLING ABlOVE-GROUND <br /> Holding Temperature: CONPLE ION Compt.Emw <br /> Method: Ground sulac. �— <br /> Screening Method: grad <br /> Verified Chain of Custody: ❑ Yes ❑No n. <br /> _n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: .bn.e <br /> =onI.fl;i _ 8 <br /> Covered: ❑Yes ❑No — w• 011vack <br /> If yes, material: <br /> t <br /> GROUTING or DESTRUCTION Total Depth:��0 = <br /> Depth to Water: �6-�1 E 30.3, tr — tt• <br /> Grout Material: " Cw - Cewte.ny <br /> Gallons of Grout Used: --V(0"t r c..l MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation C)tBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity NTremie ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 941b <br /> atlons B30 eallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BontonitelC omen l:MIX 3%MIX 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 9 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 so 5 <br /> is 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 m <br /> 20 40 8 40 <br /> Z/ �uzs �3 � 10/16/2017 <br /> E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />