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SAN JOA UIN <br /> Q Environmental Health Department <br /> - 1"'.��•"� COUNTY- <br /> - Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I ti Inspector: t. CONSTRUCTION <br /> Facility Address: Coln ,. i_h Ltd <br /> Well Address: Total Depth: <br /> WP# t Well#: Drilling Rig Type: <br /> Soil Boring#: q.5\, F 33 M Min 2"Annular EHD Seal Verified: ❑Yes El No <br /> Drilling Company: f nkcy A AA61 bhAuk Atcabj4S Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: <br /> Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes' ONO �I�I casing <br /> If yes, location and distance: _-� height T. <br /> SAMPLING ABOVE-GROUND T <br /> COWLETION CE7BO <br /> Holding Temperature: con4at.OMPLEnoN <br /> Method: Ground sulaco <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑No �-n• <br /> tt. <br /> SPOILS k7 = u e <br /> Contamination Noted: ❑ Yes El No Y° <br /> If yes,spoils storage Location: ' =_ s <br /> Covered: ElYes ❑No ..caen 'I = <br /> �; _ '. gravapaas <br /> If yes,material: r p� <br /> GROUTIUTI NG or DESTRUCTION Total D pth: � C�-s��'�, <br /> Depth to Water: rr MO o <br /> um <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Instal latiolBoring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ('�Tremie ❑Other: Type of Method: <br /> Water Cement 71 Water Cement94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest Hags Thickest Thinnest ll Bags Bentonite/Cement Mix 3% MiX s%MIX <br /> Is 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94lb 1 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> Us 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 0044 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.smcehd.com <br />