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SAN JOAQUIN <br /> pr-- <br /> Environmental Health Department <br /> COU NTY <br /> , <br /> Greatness grovrs here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �b Z� Inspector: '5C&Y%y1c 5 CONSTRUCTION <br /> Facility Address: Sb00 )A�(-00V+ Wal— <br /> Well Address: Total Depth: <br /> WP# C)U Lk5c)es Well#: Drilling Rig Type: <br /> Soil Boring#: 5 S 4ft VU Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: �'�, 61itkir1A <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: lbSML tr55OC Wd?_5 _ Filter Pack From: To: <br /> Geologist: Cynris Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> T <br /> SAMPLING AE&E.�r.aoulvo cl- -aox <br /> Holding Temperature: COIVF'LET10N COMP ETiON <br /> Method: G'rjd s"xi"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> ft. <br /> ft. <br /> SPOILS <br /> kS <br /> 8 <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: <br /> =slotted Z.: <br /> on <br /> Covered: ❑ Yes ❑No <br /> 7XV94 PackIf yes, material: Il_ _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n- <br /> Grout Material: FJeAJ 7 CieW-er1. MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well-Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑BoringInstallation Slot Size: <br /> oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> 9 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water ment 471b Water Cement 941b <br /> allons Ba Rallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 ✓ 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 ✓ 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 ✓ 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> F77TO 40 8 40 1 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />