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SAN JOAQUIk Environmental Health Department <br /> —COUNTY— <br /> ....... Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date.' <br /> —� <oZo Ivector: � CONSTRUCTION <br /> Well <br /> Address: �, <br /> Well Addres� � Total Depth: <br /> WP# t-�r t j` z (i�p Pl� ellM Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Ln Filter Pack From: To: <br /> Geologist: R cl rV,fj Bentonite From: To: <br /> �- Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION,_...Qytave Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ❑No cas;14 <br /> If yes,location and distance: hsal.gna <br /> SAMPLING ABOVE43ROUND <br /> COMPLETION CHRMY-BOX <br /> Holding Temperature: COMPLETION <br /> Method: ._—�=�°.Quad suiacs 7 <br /> Screening Method: cc d grout <br /> Verified Chain of Custody: ❑Yes ❑No n. <br /> —n. <br /> n. <br /> SPOILS <br /> a ' <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: ' = ' <br /> elottad _ 8 <br /> seedon <br /> Covered: ❑Yes ❑No = gravW pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:Depth to Water: n. LIE <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Q gt1l <br /> Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction ` 1n <br /> / avl(y -t Pi Bags of Cement: <br /> METHOD USED 1 k Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill refj Type/Brand Bentonite: <br /> rZrn I Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie Other, <br /> Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.41 2.47 <br /> 5 10 2 10 20 7 Bentonite per 94lb 1 2.62 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 1 35 70 7 <br /> 20 40 1 40 80 8 <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.s'cehd.com <br />