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c:�f <br /> SANAAQUIN Environmental Health Department <br /> COUNTY 9 <br /> Greatness g rows here. j <br /> c,vo,a• <br /> Monitoring Well/Soil Boring Inspection Report69 <br /> jv <br /> Date: l9 ,L Inspector: a��tNr���pNv�:L CONSTRUCTION L� <br /> Facility Address: <br /> Well Address: jv ''_pTotal Depth: G <br /> WP# 00 Well#: "\U& Drilling Rig Type: �tl� <br /> Soil Boring#: kv N y AV!! 7�W b�` Min 2"Annular EHD Seal Verified: ElYes ❑No /fib <br /> Drilling Company: p r <br /> Driller Onsite: cn ' 0\0'Screen Length From: To: C o <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 /> casino <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND CHRMW-BOX . <br /> Holding Temperature: CONFLErION COMPLE ON I <br /> Method: <br /> CYoond Suian <br /> Screening Method: ur«n i <br /> Verified Chain of Custody: ❑ Yes ❑Non' <br /> n. <br /> SPOILS <br /> _ e <br /> Contamination Noted: ❑ Yes ONO `0 <br /> If yes,spoils storage Location: °y` y�l x <br /> .monon <br /> ad o 8 <br /> Covered: ❑ Yes ONO <br /> If yes, material: G"vw Pack <br /> r�� r Q}p�p', �� /y N <br /> GROUTING or DESTRUCTION Total Depth:�r��D All ��u1 <br /> Depth to Water: � <br /> Grout Material; 1�0 t n �! <br /> �';2�. MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: w 9Sa.l <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> []Boring Installation ❑Boring Destruction gags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ll-Tremie IpOther: `� Y Type of Method: <br /> Water Cement471b water Cement I <br /> allons Bags eallons Ba s <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement MIX 3%Mix 5%MiX <br /> 2.5 5 1 5 10 1 Bentonite per 47Ib I IAII 2.47 <br /> s 10 2 10 20 2 Bentonite per 941b 2.82 4.7 <br /> ES 15 3 15 30 3 <br /> Ito 20 4 20 40 4 <br /> 12.5 25 5 25 50 <br /> 15 30 6 30 60 <br /> 17.5 35 7 35 70 17 <br /> 20 40 8 40 80 18 <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.swcehd.com <br /> i <br />