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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatnesv qro^s harr. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: -1 -ZFIt.3 inspector: N+�SG CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP#l9DYG `3 Well#: _ Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: DrirCl2 Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: l45 Filter Pack From: To: <br /> Geologist: 704w So wri Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br />' If yes,location and distance: height <br /> SAMPLING ABOVE-GROUND C-HAt,43Ox <br /> Holding Temperature: CotwLEn°N COMPLEnON <br /> Method: Oroundsulae� <br /> Screening Method: Nll� 7 /) grout <br /> Verified Chain of Custody: El Yes ❑No a, �h' <br /> SPOILS (htA) I ( C' <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: ) <br /> Covered: ❑Yes El No <br /> M W ICY, g-W pack <br /> If yes, material: r <br /> GROUTING or DESTRUCTION Tot Depth:—b/ r `J i'Id/ 75jlJS/1I e. = •. <br /> Depth to Water: /Lb/ V2 Sf F <br /> Grout Material: : !e <br /> Gallons of Grout Used: <br /> Qy MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation RWell Des ruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation El Boring 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 /> ❑ Gravity MTremle fp OkOther: OXPIalvWS Type of Method: <br /> Water Cement 471b Water Cement 9416 <br /> allons Bags allons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentonitelCement Mix 3% MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 1 Bentonite per 94 lb 1 2.821 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 B <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.s'cehd.com <br />