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SAN - OAQUIN Environme, I Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2.. 2. \ Inspector: CONSTRUCTION <br /> Facility Address: 15�g3� <br /> Well Address: L, P -- Total Depth: <br /> WP# \-�'o y 0 Well#:MW M%,p_\2Prilling Rig Type: <br /> Drilling Company:Soil Boring#: Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> �b�, t ,��_ <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 'l�"CU tp,��Q jot��j��-ek <br /> Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑fYes L�No COMPLETION ❑ Stove Pipe []Christie Box <br /> Domestic Well Onsite: 0 Yes ❑No casing <br /> If yes, location and distance:,�q -1!�; height <br /> SAMPLING t3\1Q, waoyE.GRputln <br /> Holding Temperature: COWL.ETION cowtFrcN <br /> Method: GmrdSuixs + <br /> Screening Method: or«,t <br /> Verified Chain of Custody: ❑ Yes ❑No —`---�' <br /> tt. <br /> ft. <br /> SPOILS �E' =_ <br /> 1 <br /> Contamination Noted: ❑ Yes L/JN0 r = <br /> If yes,spoils storage Location: slotted <br /> sac5on <br /> Covered: ZYes ❑No w — <br /> 9ravoi pack <br /> If yes, material: `:zyZg_4 44,, lc� <br /> GROUTING or DESTRUCTION Total Depth: INS �. <br /> Depth to Water: 1J 1 A <br /> Grout Material: f�p iv�n✓��Jr <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation OWell Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation ❑Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity liTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3% 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 0 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />