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�_� S A ,J O A Q U I N <br /> °o <br /> �1 K JOAQ - - Environmental Health Department <br /> �9tP' Greotness gro,: <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: Leg7o CONSTRUCTION <br /> Facility Address:30'16 11�1. S <br /> Well Address: Total Depth: <br /> WP#160($ ( Well#:v��y�wZ2Mt.v9 Drilling Rig Type: <br /> Soil Boring#: V Vw HKwit%in 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: d- L( <br /> Driller Onsite: Ff�,�.O Screen Length From: To: <br /> Consultant: (�IG,C Vlr�!✓5�- Filter Pack From: To: <br /> Geologist: ,�,ti Lu � Bentonite From: To: <br /> I 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: Co►' LEMN COMPLETION <br /> Method: Ckound Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: stood <br /> a on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: t-(ZO' =_ <br /> Depth to Water: Z,G ' ft tt' <br /> Grout Material: V1C.4 Ce"4&',yV MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: A4 I.,�cQ c X �yuTS'•y Casing Type: <br /> ❑Well Installation Well Destruction �! J Blank Feet Screen Feet <br /> Slot Size: <br /> []Boring Installation ❑Boring Destruction gags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout WOver Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity %Tremie E�Other: (G 4✓ Type of Method: <br /> Water Cement 47lb Water Cement 941b <br /> gall s Bags lZallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 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 <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.sucehd.com <br />