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SAN�JOAQUIN � <br /> Environmental Health Department <br /> . F2: 1 —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /f� 0/Zy Inspector: V_,Lc tG�, _. CONSTRUCTION <br /> Facility Address: Pov+ GF S iocftifc <br /> Well Address: Total Depth: <br /> WP#VPJY 0 Well#: Drilling Rig Type: <br /> Soil Boring#: t(l-so FVW 2.$a 34So 4ZSf+ <br /> Drilling Company: CcIJltwN+fe tech ~ Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Driller Onsite: K t l C Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: SJNM Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Chrfstfe Box <br /> Domestic Well Onsite: ❑Yes ❑No casing <br /> If yes,location and distance: height: <br /> SAMPLING AE&FGROUNa crrFi eox <br /> Holding Temperature: o°WLETION ocMP1i:`rioN <br /> Method: clrouaasu rac. _. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑Ncs <br /> fi. <br /> SPOILS <br /> Y a . <br /> Contamination Noted: ❑Yes []No " <br /> If yes,spoils storage Location: aroma s <br /> aasIon .8 <br /> Covered: ❑Yes ❑No _ <br /> T gravat pack <br /> If yes, material: c <br /> GROUTING-or-DESTRUCTION.Total Depth:Ao' Sol <br /> Depth to Water: 21fk Gi N/i} f� ft• <br /> Grout Material: vLCul' CVs%AeVVJ <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> -6 1$ Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation CBoring 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 /> 67 Gravity Cremfe ❑Other: Type of Method: <br /> Water Cement471b Water cement9411) <br /> grallons Bags allons Bags <br /> Thickest Thinnest Bags Thickest Thinnest 4Bags IBentonitelcennent Mix 3%Mix 5%Mix <br /> z•s 5 1 s1 in 1 13entonfte per471b 1.41 2.47 j <br /> s 1 10 a 10 1 zo 2 13entonito per 94 lb 1 2.821 4.7 <br /> 75 15 8 15 8o 8 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 so 5 j <br /> is 80 6 so 60 6 <br /> 17.5 as 7 a5 70 7 <br /> 20 40 8 40 80 8 ' <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138.1 www.slcehd.com <br />