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SAN JOAQUIN Environmental Health Department <br /> COUNTY--- <br /> , . .. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: $ (.12 Insp�gctor:�(T IYa. v'�L CONSTRUCTION <br /> Facility Address: ((A"%Af 4%I ,A ado F 5a 37011 t^' <br /> Well Address: Total Depth: <br /> Sol Boring#: Well#: S �6 <br /> W W1n Drilling Rig Type: <br /> Drilling Company: J lb ❑ <br /> w (} Min 2"Annular EHD Seal Verified: ❑Yes No <br /> Driller Onsite: N L(( Screen Length From: To: <br /> Consultant: 640 <br /> `V Filter Pack From: To: <br /> Geologist: SqVWN - t'Cvk-5 Bentonite From: To: <br /> G LNNr I • (7-4,9 (A Grout From: To: <br /> Public Water System Onsite: El Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND cHR*-TY-BOX <br /> Holding Temperature: L C0WILET1ON COMPLETION <br /> Method: +L�— Grand sulan 7 <br /> Screening Method: grout <br /> Verified Chain of Custody: -C�V-es ❑No -�—n <br /> tt. <br /> _B. <br /> SPOILS <br /> a <br /> Contamination Noted: ❑ Yes �No _ <br /> If yes,spoils storage Location: BE I <br /> EE <br /> Covered: ❑ Yes ❑No s.cgen <br /> w gravel Pads <br /> If yes,material: "LEE <br /> GROUTING or DESTRUCTION Total Depth:Depth to Water: w awt1— tt ft. <br /> Grout Material: 1c W p I aaATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 3(74 jk� V <br /> `Casing Type: <br /> ❑Well Installation ❑!!Well Destruction Blank Feet Screen Feet <br /> El Boring Installation LdBoring Destruction Slot Size: <br /> 111111 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 ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94It <br /> allons Bags allons Bags <br /> Thickest Thinnest pB4s E25 <br /> Thinnest aBags Bentonite/Cement Mix 3% Mix 5"/n MIX <br /> 2.5 5 i 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 20 2 Bentonite per 94lb 2.82 4.7 <br /> 7.5 15 3 30 3 <br /> 10 20 4 40 4 <br /> 12.5 25 5 50 5 <br /> 15 30 6 00 8 <br /> 17.5 35 7 70 720 40 8 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />