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COG <br /> z SA N J O AQ U I N Environmental Health Department <br /> COUNTY— <br /> c,�, r Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: (�-�P'Zy2 Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP#00 yD 93$ Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company:Ct're-qAco <br /> �r�'l <br /> Screen Length From: To: <br /> Driller Onsite: <br /> /� Filter Pack From: To: <br /> Consultant: TC� <br /> Geologist: Aj(sx 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 ❑No casing <br /> If yes, location and distance: height <br /> —Ef W7:F <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWFLE )ON cCOMP=ON <br /> Method: Ground Surface <br /> Screening Method: Qrocrt <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS ; <br /> Contamination Noted: ❑ Yes ❑No _ 4 <br /> C <br /> If yes, spoils storage Location: atone <br /> sacdon <br /> Covered: ❑ Yes ❑No <br /> If yes, material: mW 3: 161 gravel P--k <br /> 'x <br /> GROUTING or DESTRUCTION Total Depth: Pkvsprl 'Aft A' _ <br /> Depth to Water: W n. tt. <br /> Grout Material: 41 e&w MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 7— _ ZZq , S'-5 <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> El Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED��tt Bags Sand/Gravel: <br /> LPresre Gr/ut ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ICI G avity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gaill s Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest tlBags 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 e: 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 1 25 s 25 50 5 7(,/ � d q(}0 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 4vSO` '"I'J. <br /> V�q�41. <br /> �� �� 0/16/2017 <br /> /�... — Cod7 �d'� �4� C&3'e P� Ask . <br /> 1868 E. Hazelton Avenue 19tockton, California 95205 1 T 209 468-3420 1 F 2019464-0138 1 www.s*cehd.com <br />