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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address: C?�a Ill). QW SF . <br /> Well Address: j Total Depth: <br /> WP# VA (N)t Well#: Drilling Rig Type: <br /> Soil Boring#: 12,A ?)LW�b 26 -3 MW2 18 2q 30 Qua A <br /> Drilling Company: 'rReX\ r ) ) in 2)'Annular EHD Seal Verified: ❑Yes ❑No <br /> Driller Onsite: Lm Screen Length From: To: <br /> Consultant: fiavaii\Cecaw Filter Pack From: To: <br /> Geologist: �kk J. 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 casing <br /> If yes, location and distance: n height <br /> I <br /> SAMPLING ABOVE-GRCUND ctwisn,-aox <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: Ground suix.—�--- <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> IR <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: �Y\��• <br /> Slott ad 8 <br /> Covered: ❑ Yes El No — aa••+Paat <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 28' d,�t 4'1 q5 3 <br /> i 40 6i <br /> 1 = ' <br /> at a6!y� s9. 1 ', <br /> m 'XI <br /> n. •- n. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used::� t2N8N 2 MM6 Casing Type: <br /> ❑Well Installation WWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction 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 �gTremie K.Other: iex0k0StVtS Type of Method: <br /> Water Cement 47lb water Cement 941b <br /> 31111on5 Bags 2allons Ba s <br /> Thickest Thinnest #Bags Thickest Thinnest "Bags Bentonite/Cement Mix 8% Mix 5% Mix <br /> 2.5 5 1 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> s 10 2 10 20 2 113entonite per 94 lb 2.821 4.7 <br /> 7.5 1s 3 15 3o 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 1r 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 BO 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />