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SAN:JOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> �cq grows rows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date; 'L� '-I Inspector: SUPnr",t CONSTRUCTION <br /> Facility Address:_.7151 Rro.bK%i dt' <br /> Well Address: Total Depth: <br /> WP# oo 3 qa�0 Well#: Drilling Rig Type: <br /> Soil Boring#: �, 3�O 3 � 03 IMin 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company:T <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 5 CkkM Filter Pack From: To: <br /> Geologist: �p KIVV 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 <br /> casing <br /> If yes, location and distance: height <br /> W— T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION COWLETION <br /> Method: G=nd Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> ft. <br /> ft. <br /> SPOILS r2z— <br /> Contamination Noted: El Yes El No a` _ <br /> K: C <br /> If yes, spoils storage Location: stood <br /> sac^cn <br /> Covered: ❑ Yes ❑No <br /> g-4 Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 15 ; <br /> Depth to Water: "� ft• — ft- <br /> Grout Material: (,� t/_T MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation'Boring 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 ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas Ralions Bags <br /> Thickest Thinnest #Bags 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 /> s 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 /> 15 25 5 25 60 5 bags <br /> (qq �6-�) <br /> I ��� fl(ID ^ ; U CITI r1. 30 5 30 50 6p l� `l Y <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.secehd.com <br />