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c0 <br /> SAN�10A0UIN Environmental Health Department <br /> —COU NTY----- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:(� Inspector: S riSa CONSTRUCTION � `a � �as� <br /> Facility Address: 1,421 C y-kwU0 \ <br /> Well Address: Total Depth: �I ,16 <br /> WP# 2,6 0 1I'4 Well#: Stg, Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: �,�IeGOV2� Min 2"Annular EHD Seal Verified: [� Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Ae°(oyyj ger1/W, ((16 Filter Pack From: To: <br /> Geologist: 6AY <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe X;hristie Box <br /> Domestic Well Onsite: ❑ Yes ❑No I casing <br /> If yes, location and distance: rl T height <br /> 7 9A <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION Cor�t.FnoN _ 0�, <br /> Method: G round SLeacs —3.(rJ� NUNt <br /> Screening Method: a+ut GONI <br /> 351 X4.5 QV9 &t. <br /> Verified Chain of Custody: ❑ Yes E]No �ft. 16 -5.5iSUnd <br /> NWCPx W <br /> SPOILS = <br /> ON �. <br /> Contamination Noted: ❑ Yes El No = r t t <br /> If yes, spoils storage Location: <br /> t cion <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> % <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: NQa cem wft- <br /> Gallons of Grout Used: �2.6 AaOjljh1 WCaI MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest uBags 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 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 Witt le Stam6-f <br /> 12.5 25 5 25 50 5 <br /> 155 30 6 30 60 6 L,l <br /> 17.5 35 7 35 70 7 r <br /> 20 40 8 40 80 8 [ C—S(,, - Z \ v S(� 5 <br /> 10/16/2017 <br /> FG-&(11 - <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 />