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=�'"cz SANsJOAQUIN <br /> .a Environme it Health Department <br /> ---COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CG•o CONSTRUCTION <br /> Facility Address: 3 Do 3 &jaxl-1 Orr <br /> Well Address: �,j&t5V LAJ. Vj&.S6rnc +V A Total Depth: <br /> WP# Well#: D$�s-q4 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Robs Screen Length From: To: <br /> Consultant: S -ac b"s-Arvi,.,s <br /> Filter Pack From: To: <br /> Geologist: C).,jtr-S 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 /> iii <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLETION cOPIEncN M <br /> Method: Ground Surf acs <br /> Screening Method: Rt <br /> cr«n <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> tt. <br /> ft. <br /> SPOILS ; <br /> v � o <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: sionad <br /> sacdon j <br /> Covered: ❑ Yes ❑No - g-„a <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth 36-*/V'Fb ?? <br /> Depth to Water: n- tt' <br /> Grout Material: Ae.&A,- e,em ek MATERIALS/DEVELOPMENT <br /> Gallons of Grout ��Used:-g� SOu 7- 9 .!rn.,lao <br /> � - J` Casing Type: <br /> ❑Well Installation 54kell 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 Rro/ver Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> El Gravity L'Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags aallons Bags <br /> Thickest Thinnest 4Bags 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 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 B 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />