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OA <br /> IN <br /> r N J N Q U -- Environmental Health Department <br /> Greatness grows heir. <br /> 1 Monitoring Well/Soil Boring Inspection Report <br /> Date: ly l l ��7 Inspector: CONSTRUCTION <br /> Facility Address: l r , <br /> Well Address:—( cr, 9 � !fir-, pa_k_- 3{u-�✓� Total Depth: <br /> WP#_ 2, 7 0 ' qL6 Well# �w-1 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company:L ow IA /,- <br /> Driller Onsite: �—f 0- Screen Length From: To: <br /> Consultant: t; Filter Pack From: To: <br /> Geologist: y µv, L� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes --ETNo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes -[I No <br /> casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING AlBOVE-GROUND <br /> Holding Temperature: COMPLETION cOMPTMLEnON <br /> Method: Ground&x1acs T <br /> Screening M;hd grout <br /> Verified Chas dy: ❑ s ❑No �tt• <br /> tt. <br /> tt. <br /> SPOILS <br /> — a <br /> Contaminatid: ❑ Yes ❑No <br /> If yes,spoils storage Loc ion: �lo <br /> nad <br /> saC'on — B <br /> Covered: ❑ Yes ❑No <br /> g-vW pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION/otal Depth: b7 <br /> Depth to Water: tt• 2Ftt <br /> Grout Material: kC- LyAt-"- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation C14/ell Destruction Blank Feet Screen Feet <br /> !( Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz 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 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest "Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 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 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 p 1zi�d' <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 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.s*cehd.com <br />