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" SAN-,10AQUIN <br /> Environmental Health Department <br /> l" ` —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ( Z2 Inspector: (-f-1310YiIPWVO;�q c�q CONSTRUCTION <br /> Facility Address: 2M) Intermada/ Ujgg 1407pee-q <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: NMAU Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING <br /> ABOVE-GROUND GtiA1STY-80X <br /> Holding Temperature: COMPLETION CHRZCOMP Y-BOX <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> ft. <br /> SPOILS ft. <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stoned <br /> soon = 2 <br /> Covered: ❑ Yes ❑No _ V, <br /> Pack <br /> If yes, material: x = <br /> GROUTING or DESTRUCTION Total Depth: 5 �5 q 23,E <br /> Depth to Water: n• 2F — tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation XBoring Destruction Slot Size: <br /> 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 Xremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> gall Bags gallons Bags <br /> Thickest Thinnest ABags Thickest Thinnest uBags Bentonite/Cement Mix 3% MIX 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 /� /� (� <br /> 10 20 4 20 40 4 —KJ I , I, b W <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 15 -02 , V 1� 23 W PS <br /> 17.5 35 7 35 70 7 <br /> zo 40 s 40 so e <br /> 1 10/16/2017 <br /> Ahn A09 <br /> , V3-�� bcl 5 $ No G w <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 464-0138 1 www.s*cehd.com <br />