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SAN JOAQUIN Environmental Health Department <br /> COUNT Y — <br /> cr Greatness grows here. <br /> + Monitoring Well/Soil Boring Inspection Report <br /> Date: '? Inspect ,r: _AA,_IWL CONSTRUCTION <br /> Facility Address:_ /�' Zo , fWky_r. Lzk`tl <br /> Well Address: Total Depth: <br /> WP# O� ^ Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: ers 1tC4* <br /> Driller Onsite: Screen Length From: To: <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 casing <br /> If yes, location and distance: height <br /> SAMPLING AE&E.GROUND c.44Rzi-y-r3ox <br /> Holding Temperature: COWFLEMN COMPtETICN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> `l <br /> Verified Chain of Custody: El Yes ❑NrnV r' L' ft <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: 46-nw -` 1-5 sia Y. <br /> a*cton '— <br /> Covered: ❑ Yes ❑Nam <br /> YhIAJ �•�� 1 - . <br /> If yes, material: _ <br /> GROUTING or DESTRUCTIQN Total Depth: V.5- -Iola <br /> Depth to Water: Z,7 30ft• — ft• <br /> Grout Material: <br /> Gallons of Grout Used: 3 -t�V 3-�W iAV MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation KWell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity AlTremie XOther: %;C')f 0wJ Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags izallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Miff 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 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 Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 www.s"cehd.com <br />