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SAN J OAQ U I N Environmental Health Dppartment <br /> --COUNTY "4— <br /> Monitoring Well/Soil Boring Inspection Report rI <br /> A o-2v'/� (/01 <br /> Date: IIISI/Y Inspector: CONSTRUCTION 2-0 <br /> Facility Address: d Z5-?O ��rel-4- <br /> -r <br /> Well Address: Total Depth: 132 (o �j <br /> WP#/jt�13�/9y3 Well#: Drilling Rig Type: (tom 75 <br /> Soil Boring#: ,R/ dZ <br /> Drilling Company:. fl'is�cfo� .L,� Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Driller Onsite: ,ecf6ek Screen Length From: To: <br /> Consultant: 7e11Zy<dK Filter Pack From: To: <br /> Geologist: 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: T height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: OONPLETION COMPLETION <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: t2 Ld 1 abtwd <br /> Bacon <br /> Covered: ❑ Yes ❑No = „iW paCk <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 3y� <br /> Depth to Water: -,c)� <br /> Grout Material: NVf l e,wy-1 <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> E--]Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation kBoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ®pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity !QTremie ❑Other: Type of Method: <br /> Water ent Water Cement 941b <br /> B allons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 'q Bags 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 /> 9,L) 16 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />