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SAN�JOAQUII <br /> � EnvironmL _.al Health Department <br /> COUNTY--- <br /> c1ucoa'',�P� Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Z-/ Inspector: Ae-e'" CONSTRUCTION <br /> Facility Address: o S Gay S+c 94 <br /> Well Address: Total Depth: <br /> WP#0o Yo Well#: M-v -S Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: C4SL e Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: r a r'I' Screen Length From: To: <br /> Consultant: Tc_ Filter Pack From: To: <br /> Geologist: T" ^" Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 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: COMPLETION COOMPLEnoN <br /> Method: G=nd Surtac* <br /> Screening Method: gram <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: atoll <br /> socton — 2 <br /> Covered: ❑ Yes ❑No <br /> *4 Pack <br /> If yes, material: '< <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water-YOB <br /> tt. tt. <br /> Grout Material: N*-a,f cow•-r f <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation C�Nell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> El Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity C/fremie ❑Other: Type of Method: <br /> /Water ent 4716 water cement 941b <br /> s Ba sgallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest uBags 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 1 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 8 40 1 80 8 <br /> ^ �7n^/firs 10/16/2017 <br /> ff�� 1 <br /> 1868 E. Waz��on Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />