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SAN��JOAQUIN <br /> •,; Environmental Health Department <br /> i,5'I.._>:- —COUNTY— <br /> , <br /> Greatness grows here. <br /> �t Monitoc�ringWell/Soil Boring Inspection Report <br /> Date: 1- Inspector: S J cK1 -�— CONSTRUCTION <br /> Facility Address: 535 MI, 2� �� o n•,�,st uGl�fz�.., <br /> Well Address: tt Total Depth: <br /> wP# D rely la-5 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: G rea.r!- <br /> Driller Onsite: V I/ Screen Length From: To: <br /> Consultant: VV, to, 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 casing <br /> If yes, location and distance: height <br /> T <br /> SAMPLING AWyg,.6�pUNp <br /> Holding Temperature: COWLET1AN cob►P�oN <br /> Method: c3rocind swtaca`�"""""' <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: <br /> stcned =_ <br /> ►saon <br /> Covered: ❑ Yes ❑No n = " <br /> P <br /> If yes, material: <br /> GROUTING-or-DESTRUCTION. Total Depth:P�' t.0v <br /> Depth to Water: '�-�y ft- ft• <br /> Grout Material: rl G <br /> Gallons of Grout Used: 10 MATERIALS/DEVELOPMENT <br /> tl Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation odrig 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 kremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba s Rallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest It Bags BentoniteXement Mix 3% Mix S% 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 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />