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SAN JUAQUIN Environmental Health Department <br /> —COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3/12/2019 Inspector: J. Easter CONSTRUCTION <br /> Facility Address: 17200 Murphy Parkway, Lathrop,CA 95330 <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: B13 Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Penecore Drilling <br /> Driller Onsite: Jorge Screen Length From: To: <br /> Consultant: Advanced GeoEnvironmental Filter Pack From: To: <br /> Geologist: Brian Millman 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 /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 32 degrees(on ice) OOWLETION COAPtET1 CH 0 <br /> MP'-B N <br /> N <br /> Method: direct push with hollow-probing rods Ground Surface + <br /> Screening Method:visual classification, PID, ELAP-certified laboratory gran <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> tt. <br /> SPOILS . <br /> Contamination Noted: ❑ Yes iANo <br /> If yes, spoils storage Location:transferred to drum abttod '` <br /> s = <br /> a�czon a _ <br /> Covered: ❑ Yes ❑No <br /> = Gn'r°I pad` <br /> If yes, material: — <br /> GROUTING or DESTRUCTION Total Depth: 15 feet bgs : _ <br /> Depth to Water: estimated to be at 11 feet bgs <br /> Grout Material: Neat Cement <br /> Gallons of Grout Used: approximately 3 gallons MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation i Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> 0 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 94lb <br /> gallons Bags gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 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 /> 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.slcehd.com <br />