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C SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY-- <br /> Greatness grows here. <br /> / f Q Monitoring Well/Soil Boring Inspection Report <br /> Date 2, 1 l 1 I Inspector: , I nj4o-CONSTRUCTION <br /> Facility Address: wti3' N S' <br /> Well Address: Total Depth: <br /> WP# Q32 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company:S0` epi GYrd ]4�i4�9 ✓��' Min 2" Annular EHD Seal Verified: El Yes 1:1 No <br /> Driller Onsite: Sem► J Screen Length From: To: <br /> Consultant: Q fify' 'nRejl-'i Filter Pack From: To: <br /> Geologist: —5-05 kA Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CO�MPLEnO_N <br /> Method: G=nd Sufaics <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No =` <br /> If yes, spoils storage Location: <br /> aKlon — B <br /> Covered: ❑ Yes El No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 5 l q <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 1 5- Ual1OVIS <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation gBoring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity gTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 41b <br /> allons Bas gallons Bags <br /> Thickest Thinnest aBags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 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 1 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 1140 80 8 <br /> 7z S 10/16/2017 <br /> o a� 6 b 9 <br /> 1868 E. Hazelton Avenue Stockton,California 95205 1 T 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />