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Y <br /> SANJOAQUIN <br /> Environmental Health Department <br /> ' �"' t_•!(:: —COUNTY— <br /> Greatness grouts here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ��•Ze inspector) $2-w CONSTRUCTION <br /> Facility Address: 30(0, N- 11.4 La/M <br /> Well Address: Total Depth: <br /> WP# Well#: �' SV—� Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br /> If yes, location and distance: nei9ne <br /> SAMPLING ABOVE•CROUND CHRM-r1'4eOX <br /> Holding Temperature: COWLETION COMPLETION <br /> Method: Ormond Svtac. <br /> Screening Method: grout <br /> 5U�1•�s�-y . <br /> Verified Chain of Custody: ❑ Yes ❑No / �n• <br /> sv-�.zo n H. <br /> SPOILS kxl EE a <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: elan d = 8 <br /> faction <br /> Covered: El Yes ❑No y _ 0ravwPack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: Ako ctxtll& _ n• tt. <br /> Grout Material C <br /> Gallons of Grout Used:����ei/pi• MA Type/DEVELOPMENT <br /> Casing Type: <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> 7 Slot Size: <br /> ❑Boring Installation ❑Boring Destructidrp'( Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand Bentonite: <br /> Filter Pack Type/Size: <br /> e/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water cement 471b Water cement941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest kBags Thickest I Thinnest 9Bags BentonitelCement Mix 3%MIX 5%MIX <br /> 2.5 5 1 5 l0 1 JBenlonite per 47 lb 1.41 2.47 <br /> 5 10 2 l0 20 2 Bentonite per 94lb 2.82L, 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 'G{-6 <br /> 12.5 25 5 25 <br /> 15 30 6 30 60 6 ` <br /> 17.5 35 7 35 70 7 ��J- G j0�Gvrt- 3 '�(7 O•s7 ' <br /> 20 40 B 40 80 B S J 1 <br /> b -t 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />