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SANJOAQUIN <br /> — Environmental Health Department14 <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: WIVT Iylnspector: I V p�gI A CONSTRUCTION <br /> Facility Address: 1;�o00 Q7� •fin ,<' . J <br /> Well Address: Total Depth: <br /> WP# %&' jajj Wellff: Drilling Rig Type: <br /> Soil Cof: Q-�> �J t g ZZ 1 <br /> Drillinging Company: 63Min 2"Annular EHD Seal Verified: ❑Yes ONO <br /> �� v t�h <br /> Driller Onsite: va� Screen Length From: To: <br /> Consultant: \f-- gSSpt,• Filter Pack From: To: <br /> Geologist: - `(n��Ct Q , Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: 6 Yes []No COMPLETION ❑Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ONO casing <br /> If yes,location and distance: � height <br /> SAMPLING ABOVE-0 <br /> ROUND <br /> Holding Temperature: fXINPLETION Iry <br /> COMPLETION <br /> Method: a aim su+ac. - ' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑Nott• <br /> tt. <br /> SPOILS <br /> y a <br /> Contamination Noted: ❑ Yes []No <br /> If yes,spoils storage Location: ewnaa T <br /> 8 <br /> Covered: ❑Yes ONO Nauan = grave' <br /> If yes,material: I 1=1-1 <br /> GROUTING or DESTRUCTION Total Depth: _ = <br /> Depth to Water: %w <br /> Grout Material: f�-X krA •c . MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: j—,jp .th <br /> V Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Boring 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 f]Tremie ❑Other: Type of Method: <br /> Water cement471b Water cement941b <br /> allms Bags Battens Bags <br /> Thickest Thinnest aBags Thickest Thinnest OBags Bentonite/Cement MIX 3a/o MIX 5a/n MIX_ <br /> 2.5 5 1 5 10 1 1 Bentonite per47lb 1 1.411 2.47 <br /> 5 10 2 20 20 2 Z5 is 3 is 3D a _IBentonite er 94 lb 1 2.821 4.7 <br /> I I I - <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 s0 5 <br /> 15 90 6 3o 60 6 <br /> 17.3 11 35 70 7 <br /> 20 � 1 40 00 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.stcehd.com <br />