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SAN JOAQUIN <br /> Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: �R�dh„ CONSTRUCTION <br /> Facility Address: /&911_zjl«/%%!c /r (�LS/Zdc✓ <br /> Well Address: Total Depth: <br /> WP# On y' Well#: -IZ Q Drilling Rig Type: <br /> Soil Boring#: Zz/`�3 ,,Q f0-� <br /> Drilling Company: in 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: 12d6 Q-7 r.-/Acreen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: .4G� Bentonite From: To: <br /> Geologist: /�� �` J�V S <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br /> If yes,location and distance: � height <br /> _EWT <br /> SAMPLING Aaove.caoUNo <br /> COMPLETION COMPLE--BOX <br /> Holding Temperature: coMiriETioN <br /> Method: orouna sutaa0 7 <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No6 <br /> If yes,spoils storage Location: .bnad ` <br /> :=on <br /> Covered: ❑Yes ❑No <br /> VIM Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: // tt. LIE tt. <br /> Grout Material: Al; GC MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ./&0 44llo's <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill &ept7" Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> stations Bags stallons Basts _ <br /> Thickest Thinnest aBags Thickest Thinnest pBags _ Bentonite/Cement Mix 3%MIX 5%Mix] <br /> Is 5 1 5 10 1 Bentonite per 47lb 1 1.411 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 s .�s If O-IZ�p-z376 '�jOr j0 'L�O^y �"� <br /> 15 30 6 30 60 6 Dr1 <br /> 17.5 35 7 35 70 7 0'7 6ia. G�, W,!( �je av✓i��• K� �" / <br /> 20 40 B 40 BO 8 1 Y <br /> ow-fi&'1- d 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 <br />