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SANcJOAQUIN Environmental Health Department <br /> - <br /> ---COU NTY--- <br /> c�cP Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ZRi °1 Inspector: CONSTRUCTION <br /> Facility Address: -z�w }tw..,oit►rx1 <br /> Well Address: Total Depth: <br /> WP# r:2J n,•/f'`-! Well#: Drilling Rig Type: <br /> Soil Boring#: LrtJw 'tP Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: 1 ..s^^ <br /> Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: r-�c, wTI� <br /> 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND __ <br /> Holding Temperature: CoMPLErtON COMPLEMN <br /> Method: Ground Surfa" <br /> Screening Method: orb <br /> Verified Chain of Custody: ❑ Yes El No -�—n' <br /> ft. <br /> ft. <br /> SPOILS =_ <br /> Contamination Noted: ❑ Yes []No — <br /> an <br /> If yes, spoils storage Location: stonad <br /> Covered: El Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: uu _ <br /> Depth to Water:—:?,. tt. tt <br /> Grout Material: V-"h- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:r"3�c, Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Borin Installation Slot Size: <br /> g �lBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ZITre'mie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest #Bags 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 z 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 50 5 <br /> 15 30 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 s 40 so a <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 />