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f"°u'"c SKJOAQUIN <br /> ,.I.. <br /> environmental Health ®apartment <br /> COUNTY— <br /> \' .:ac'o.;. _,_ <br /> '5'c,,_ +% Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:Al�\_Nti3 Inspector: CONSTRUCTION <br /> Facility Address: c.11 <br /> Well Address:Mk 2t- 1W) Total Depth: <br /> WP# V\vws aNeN# Drilling Rig Type: <br /> Min 2"Annular EHD Seal Verified: ElYes []NoDrilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: T'L Filter Pack From: To: <br /> Geologist: -�p��J 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 casing <br /> If yes, location and distance: � height <br /> SAMPLING ABOVE-GROUND <br /> COM'I.ET10N I15Tt'•BOX <br /> Holding Temperature: COMP1ErION <br /> Method: 7—. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑Noft- <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No , <br /> If yes,spoils storage Location: sionb .za. <br /> ascion ,_ a <br /> Covered: ❑ Yes ❑No9-VA Pack <br /> _ <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth. <br /> V(\1 <br /> Depth to Water: uA �—�` • <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation QlWell Destruction Blank Feet Screen Feet <br /> slot Size: <br /> El Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ver Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity Tremie -]Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gaillians Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Baas _BentonitelCement Mix 3%Mtx 5%Mix <br /> 2s 5 1 5 10 1 Bentonite per 47 1b 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 a 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 3D 6 30 60 6 <br /> 17.5 5 7 35 70 7 <br /> 20 4 90 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 j <br />