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pUfry''\ <br /> SAN. JOAQUIN <br /> Environmental Health Department <br /> � a _.COUNTY- -- <br /> \`44i4oac�j`% Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 516/« Inspector: M% CONSTRUCTION �z0�'d00'"e-� <br /> Facility Address: I-ao' <br /> Well Address: Total Depth: <br /> W P# (j-O 34Y Well#: Drilling Rig Type: <br /> Soil Boring#: a _W,- d-?O - H Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> "T✓n"" <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: /',pd Srs, lx-� Filter Pack From: To: <br /> Geologist: '/[ARC Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION CCOMPUMON <br /> Method: Ground Surf xs If <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �tt• <br /> tt. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: Sion" <br /> sacdon <br /> Covered: ❑ Yes ❑No = g­w <br /> If yes, material: 'x <br /> GROUTING or DESTRUCTION Total Depth: __ <br /> Depth to Water: _ 1-0 dl-Iy {I' tt - tt• <br /> Grout Material: <br /> Gallons of Grout Used: 7•S c5411d.I. MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation [XBoring 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 XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />