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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— -- p <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: W43 Insp ctor: m4seAii CONSTRUCTION <br /> Facility Address: /yd�2G I1,z4yp <br /> Well Address: Total Depth: <br /> WP# Well#:MI,YH"z2 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: A&T Filter Pack From: To: <br /> Geologist: 6161+ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> I <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: � Haight T li <br /> SAMPLING ABOVE-GROUND Ot��SiY BOx T <br /> Holding Temperature: COMPLETION <br /> Method: t'� r3soumsuiaa. coM� PiErIgN <br /> Screening Method: IV, Grout <br /> Verified Chain of Custody: ❑ Yes ONO _k7 �N ft.i (� n. <br /> SPOILS J <br /> Contamination Noted: ❑ Yes El No <br /> I v = a . <br /> If yes,spoils storage Location: ' c <br /> slotted <br /> Covered: ❑ Yes ONO soc�cn rl <br /> If yes,material: c gm-1 Pads <br /> GROUTING or DESTRUCTION Total Depth: Z/ r <br /> Depth to Water: <br /> Grout Material: /✓04 6P+tr <br /> Gallons of Grout Used: 39 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation Novell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Cover Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity fremie ❑Other: Type of Method: <br /> Water CeCement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _ Bentonite/Cement Mix 3°/a MIX 5%MIX <br /> 2.s s 1 5 11 1 Bentonite per47lb 1.411 2.47 <br /> s 10 2 10 20 2 3 Bentonite per 94 lb 2.82 4.7 7.5 IS 15 30 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 10 q0 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />