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' SAN JOAQUIN Environmental Health Department <br /> --- -COUNTY <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: `1I33 Inspector: (5i'r4L' 11 y CONSTRUCTION <br /> Facility Address: -)/A-+8 V0.4) ltr�,c ry�r STIt S <br /> Well Address: Total Depth: <br /> WP# / Z S] Well#:S/4 l- l Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ONO <br /> Drilling Company: ejt Gvrw D rib lu1 <br /> Driller Onsite: pr Screen Length From: `fir 7 To: S 5 <br /> Consultant: Filter Pack From: To: !�-7L <br /> Geologist: 5qw" Bentonite From: To: Sy <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes _jJNo COMPLETION ❑ Stove Pipe []Christie Box <br /> Domestic Well Onsite: ❑ Yes ,�E]No <br /> casing <br /> If yes, location and distance: � height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: cowLErION ON <br /> Method: Or°udsurfacs �� <br /> Screening Method: grout <br /> n. <br /> Verified Chain of Custody: ❑Yes ONO y'0� n <br /> —n. <br /> SPOILS � <br /> y1 a <br /> = q <br /> Contamination Noted: ❑Yes E]NO <br /> If yes,spoils storage Location: .btwd 1` <br /> ►oc7on � _ $ <br /> Covered: ❑Yes ONO gn`V-1 <br /> — <br /> If yes,material: — <br /> GROUTING or DESTRUCTION Total Depth: -A5 <br /> Depth to Water: O n. <br /> Grout Material: t <br /> Gallons of Grout Used: ri V%"a a 9 MATERIALS DEVELOPMENT <br /> Casing Type: <br /> ell Installation 0/e stru lOn Blank Feet Screen 7�Feet <br /> Slot Size: 0.1n7-a <br /> tring Installation El Boring Destruction gags of Cement: <br /> METHOD USED Bags Sand/Gravel: o <br /> L Lk <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size:% ; (� <br /> ❑ Gravity ATremie ❑Other: Type of Method: :fv[A vk--L- <br /> I <br /> Water Cement 471b Water Cement 941b <br /> stations Bags eallons Basis <br /> Thickest thinnest p0ags Thickest Thinnest wags rBe <br /> ntonitelCement Mix 3% Mix 5% MIX <br /> Is 5 1 5 10 1 tonite er47lb 1.41 2A75 10 1 10 20 2 tonite per 94 lb 1 2.821 4.7 <br /> 7.5 15 3 1s 30 3 - <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> is 30 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 0 40 00 1 0 <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.slcehd.com <br />