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=I-� SAN JOAQUIN <br /> Fz Environmental Health Department <br /> f`Ll%;� <J _COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 / Inspector: NA.S"frt4 CONSTRUCTION <br /> n <br /> Facility Address: f'/fO j,)eseet�F�o <br /> Well Address: Total Depth: <br /> WP# ey3q&Z Well#: Drilling Rig Type: <br /> Soil Boring#: D 1, DY _ n S <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: /-/.'tf s,�/r /Dr,y <br /> DrillerOnsite: k.ti Screen Length From: To: <br /> Consultant: Mi-E Filter Pack From: To: <br /> Geologist: A4c4r/7Bentonite 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: COMPLETION COMPLEMN <br /> Method: Ground Sana. <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> tt. <br /> tt. <br /> SPOILS <br /> K: _ a <br /> 4 O <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stow _ B <br /> cn <br /> Covered: ❑ Yes ❑No = oi*+pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: IS T <br /> Depth to Water: fU.:. f,,- <br /> Grout Material: iv e4 f c e vrPvE <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation 5ZBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> El Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie 6KOther: F"er rjI Type of Method: <br /> a e ment,47lb Water Cement 941b <br /> /keallonBas Rallons Bags <br /> Thick Thinnest 9Bags 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 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 e0 e <br /> ya 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />