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SAN JOAQUIN Environmental Health Department <br /> 1 �_,- <br /> COUNTY <br /> = " GreoLness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: =�2,S Inspector: ,duns CONSTRUCTION <br /> Facility Address: 900 Jro Aoq,+* #4 A4s- <br /> Well Address: Total Depth: <br /> WP# W I#: Drilling Rig Type: <br /> Soil Boring#: o. b CPT �Zc> b Cfr15a) Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: <br /> Geologist: ,p\ <br /> 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 casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLEr10N COMPLEMN <br /> Method: G=nd Surf"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No n' <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> - C <br /> If yes, spoils storage Location: <br /> tecton = <br /> Covered: ❑ Yes ❑No <br /> �V'W Pack <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: 35-40, ,5 q0 '4 — <br /> Depth to Water: n• ft. <br /> Grout Material: <br /> Gallons of Grout Used: )oaa IS Q o 4 , MATERIALS/DEVELOPMENT <br /> J I I Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation XBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> El Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity .X remie ❑Other: Type of Method: <br /> Water C ment 47lb Water Cement 94lb <br /> allons Bags RaI1111ons Bags <br /> I o 0 <br /> Thickest Thinnest gs Thickest Thinnest Bags Bentonite/Cement Mix to 3 Mix 5 /o Mix <br /> 2.5 5 it 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 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 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <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.socehd.com <br />