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SAN�J0A0UIN <br /> COUNTY— Environmental Health Department <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: \n0 CONSTRUCTION <br /> Facility A dress: G?fl 11U. C OL j 5 -. <br /> Well Address: Total Depth: <br /> WP# 2 6 Well#: Drilling Rig Type: <br /> �'SeiFBern�g#. MW2 Min 2"Annular EHD Seal Verified: ❑Yes ONO <br /> Drilling Company: • PX\P.( rC <br /> Driller Onsite: NQan Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: \ Q. Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br /> If yes,location and distance: � height <br /> —EWT <br /> SAMPLING ABOVE-GROUND <br /> CObF'LETION CNRISIYIBO <br /> Holding Temperature: con+aLeTioN <br /> Method: OnwndS"i"' ' + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO <br /> tt' <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No ^,r ° = " <br /> If yes,spoils storage Location: /}l elected <br /> t v sac�on 3;1 = 8 <br /> Covered: ❑ Yes ❑NO gravvi I <br /> ack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:Sas '121 1/lyoll$41� 6Ot _ '• <br /> Depth to Water: <br /> Grout Material: Ne0k e MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 45VaN oec ente4a 7 LWAkS, <br /> Casing Type: <br /> ❑Well Installation MWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation ❑Boring Destruction <br /> Bags of Cement: I <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity fffiTremie X0ther:tX �S�_ 'k`(S Type of Method: <br /> Water ment 471b Water Cement 94lb <br /> allons ea s allons Bags _ <br /> Thickest Thinnest ags Thickest Thinnest 4Bags _ Bentonite/Cement Mix 3%MIX 5%MIX <br /> 2.5 5 1 s 10 1 Bentonite per471b 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 1s 30 3 <br /> 30 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 /> 20 40 8 40 80 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.s'cehd.com <br />