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SAN_J0A0UIN Environments Health Department <br /> :: <br /> I• [��.!-;-.. �I —COUNTY— i � <br /> •'.��. Greatness grows here. 111 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1o/TZ //2 Inspector:_ . CONSTRUCTION <br /> Facility Address: 'Uwo Hebb p�l� <br /> Well Address: P11616 (srrs.A 444 111, . Total Depth: <br /> WP# 0032-1 Ll Well#: 1✓'ZSyV-*Z4 Drilling Rig Type: ej-WA . >6mn,l <br /> Soil Boring#: r,,,,,,- <br /> Drilling Company:_Cmftm oy,16-w Min 2" Annular END Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: G 1 .,,,,4 1jScreen Length From: To: <br /> Consultant: Law ~cA, A .a, Filter Pack From: To: <br /> Geologist: C (rwc 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 /> L -01 aasin4. <br /> If yes, location and distance: height <br /> _QWT�SAMPLING ABOVEGROUND <br /> COMPLETION GNPoSTY 80X <br /> Holding Temperature: COMPtEnoN <br /> Method: O mnd su iaa �__ <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> ts. <br /> SPOILS _ft. <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: saran e; <br /> Covered: El Yes ❑No sac on e <br /> If yes, material: EE <br /> GROUTING or DESTRUCTION Total Depth:wDepth to Water: v-A 4y c�� n <br /> Grout Material: k%ir* ' C4wvn/r MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: E45v! Casing Type: <br /> ❑Well Installation E14ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout C}wer Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 14Tr'emie ❑Other: Type of Method: <br /> Water cement 471b Water cement941b <br /> allons Bags eall s Ba s <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement MIX 3% Mix 5o/a Mlx_ <br /> 2.5 5 1 5 10 1 Bentonite per 47Ib 1 1.411 2.47 <br /> 5 to, 2 10 20 2 Bentonite per 941b 1 2.821 4.7 <br /> 7.5 15 3 15 3o 3 <br /> 10 20 4 20 40 4 <br /> 1215 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 /> 10 411,6 bo�,S I 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />