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SANJOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> _ Greatness Grans here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> w �/ r <br /> Date: toh/6 Inspector: �� Y1 CONSTRUCTION <br /> Facility Address:7>S7-M, S (2-. / <br /> Well Address: Total Depth: <br /> WP# (70-s'? 1 Well#: Drilling Rig Type: <br /> Soil Boring#: '%Sb .(3& 8 t dSl Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: (7rt3 pr-iVt% <br /> Driller Onsite: (z.ee4rvN n Screen Length From: To: <br /> Consultant: 60:Ac,h C <br /> Filter Pack From: To: <br /> Bentonite From: To: <br /> Geologist: LOM <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No T_ casing <br /> If yes, location and distance: heLglit ; <br /> _awl: <br /> SAMPLING ABOVE-dROUND <br /> Holding Temperature: A3r'LETFON c xW=ori <br /> Method: G=r)d Surface <br /> Screening Method: erg <br /> Verified Chain of Custody: ❑ Yes ❑No fL <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes [I No <br /> If yes, spoils storage Location: <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:lo-i�f,�to q io-At k)4 =_ <br /> Depth to Water: 0 <br /> Grout Material: d�,elk Cep_ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: %4- q% rgDi413o,, <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> El Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> � <br /> � Filter Pack Type/Size: <br /> L_V Gravity &�remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gall ons Balzs <br /> Thickest Thinnest 4Bags Thickest Thinnest #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' z 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> Z5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 lr l <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 e0 e <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.slcehd.com <br />