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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Monitoring Well/Soil Boring Inspection Report <br /> k'ate: 111110 Inspector: if-or CONSTRUCTION <br /> 1 acility Address: ILC,r <br /> (Nell AdAdr'e'ss: Total Depth: <br /> WP# " Well#: A w- Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: eSG� C Min 2"Annular EHD Seal Verified: ❑Yes ONO <br /> Driller Onsite: ear Screen Length From: To: <br /> iConsultant: /t t L h vL��tS Filter Pack From: To: <br /> Geologist. <br /> h Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO caging <br /> If yes, location and distance: � height <br /> SAMPLING ABOVEGROUND <br /> tXlwLETION COMPLY-SOX <br /> Holding Temperature: co�nrlerioN <br /> Method: G=ndSulaa <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑Nott. <br /> ft. <br /> eft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ONO t _ <br /> If yes,spoils storage Location: <br /> .lotted — 8 <br /> sec5on <br /> Covered: ❑ Yes ONO — � <br /> If yes, material: Im <br /> pack <br /> 1 <br /> GROUTING or DESTRUCTION To tal Depth:Depth to Water: tt• n• <br /> Grout Material: <br /> Gallons of Grout Used: N i,;0 7 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation1woring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout 00ver Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity Xremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags _ <br /> Thickest Thinnest #Bags Thickest Thinnest Hags _ Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 10 2 10 20 <br /> 7.5 15 3 15 30 3 Bentonite per 94lb 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 35 70 1 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 i T 209 468-3420 i F 209 464-0138 i www.secehd.com <br /> I <br />