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°k NJ0A0UIN <br /> �j SA <br /> _ EnvironmenLal Health Department <br /> l COUNTY— <br /> Greatness grows here. <br /> C Monitoring Well/Soil Boring Inspection Report <br /> Date) ^1/a0zI Inspecto�r:f o-,pro. CONSTRUCTION <br /> Facility Address: (0 7j't Ane c t <br /> Well Address: S Total Depth: <br /> WP#00409-69 Well#: I�t� 02 Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes []No <br /> Drilling Company: r_ <br /> Driller Onsite:_� a.r V Screen Length From: To: <br /> Consultant: �-rc <br /> Filter Pack From: To: <br /> Geologist: S i dV1 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLETION COMPLETION <br /> Method: G=nd Surfaco <br /> Screening Method: Rt grout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> it. <br /> tt. <br /> SPOILS <br /> Contamination Noted: El Yes El No <br /> If yes, spoils storage Location: o-crass sb <br /> a�cson — <br /> Covered: 14yes ❑No <br /> If yes, material: (X.✓ a ' _ <br /> GROUTING or DESTRUCTION Total Depth: q Lo <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: � Q 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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout9ver Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity L+remie ❑Other: Type of Method: <br /> Water Ceme 471b water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 9Bags 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 /> —77-Av 90`"I 1 q ba-0S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />