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SAN0.JOAQUIN Environmental Health Department <br /> —COUNTY- <br /> 9 Greotness grows here. <br /> //�� <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: V Th� �"I Inspect • V1'(e-p—t CONSTRUCTION <br /> Facility A dress: )-'�Oft KCA 1 "-s ft-4 <br /> Well Address: (J Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: _ Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: �eGVv1 Screen Length From: To: <br /> Consultant: ' L*NV <br /> Filter Pack From: To: <br /> Geologist: CLS ylm'k 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 /> SAMPLING ABOVE-GROUNO C�HR__ <br /> Holding Temperature: COWPLEfION CC%W FncN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No 1�ft• <br /> tt. <br /> ft. <br /> SPOILS w <br /> = e <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: ,bid <br /> sacion — 3 <br /> Covered: ❑ Yes El Nogra= vul <br /> Pack <br /> If yes, material: <br /> 45-�t r <br /> GROUTING or DESTRUCTION Total Depthl2'�t5--t�g�3 : <br /> Depth to Water: Ra -�t 9134Z lq(tn n' <br /> Grout Material: Qr1 lot <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation 5�13oring Destruction Slot Size: <br /> 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 Premie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 1 2.82 4.7 <br /> 7.5 15 3 15 30 3 12 r0 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 5 GLIA� w a'� <br /> 15 30 6 30 60 v <br /> 17.5 35 7 35 70 7 I <br /> 20 40 8 40 80 8 �J 1�� /�1 i(►„O 1 6�y�( <br /> �`16l5(0,,�,'a_rd�, (�*J1k P� wc1�6/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com U <br />