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SAN JOAQUIN Environmental Health Department <br /> —COUNTY <br /> +k„�,,,.>`- Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Z} Inspector: Jam. -tQ95CONSTRUCTION <br /> Facility Address: I030y l:tvtt�0 <br /> Well Address: Total Depth: <br /> WP# ()C)t.,��j�jN Well#: I, Drilling Rig Type: <br /> Soil Boring#: VCt02 rj2v?5 1k OY1S I T Min 2"Annular EHD Seal Verified: ❑ Yes ONO <br /> Drilling Company: E1r\U:1_0nI ' +ul (^!Jn{t�1ftfv» <br /> Driller Onsite: creep Length From: To: <br /> Consultant: icv 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 ONO casing <br /> If yes,location and distance: FRI height <br /> SAMPLING ABOVE-GROUND <br /> CowLErl0N COMPLETION <br /> Holding Temperature: conlPlaTloN <br /> Method: Orwnd suiacs <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ONO s-tt <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: ' _= <br /> sbtlad $ <br /> aarJon r <br /> Covered: ❑ Yes ONOPack <br /> If yes, material: c <br /> GROUTING or DESTRUCTION Total Depth. t I 5��jr <br /> Depth to Water: tt. — ft. <br /> Grout Material: <br /> MATERI <br /> Gallons of Grout Used: � R <br /> AALS/DEVELOPMENT <br /> rs— Casing Type: <br /> ❑Well Installation AtWell Destruction JP Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation mooring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water ant 471b Water cement 941b <br /> allonz crsairs gallons Bags <br /> Thickest Thinnest gs Thl kest Thinnest 9Bags BentonitefCennent MIX 3% MIX 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per47Ib 1 1.41 2.47 <br /> s 10 2 v 10 20 2 <br /> 7.5 15 3 ✓ 15 30 3 Bentonite per 94 lb 2.82 4.7 <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 0 40 30 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 />