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' c SAN JOAQUIN <br /> Environmental Health Department <br /> 2 2 <br /> COUNTY <br /> i <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date A R/ Inspector: NK,/Q CONSTRUCTION <br /> Facility Address: 'a?- S- A rr- 1- <br /> Well Address: Total Depth: <br /> WP# o 935-0 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: -2.( �RT ��� Min 2" Annular EHD Seal Verified: ❑ Yes 11 No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: �Q ✓JN i�� Filter Pack From: To: <br /> Geologist: (Z e i e� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑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: CONF ETION comPLEncN <br /> Method: Ground Surface + <br /> Screening Method: erg <br /> Verified Chain of Custody: ❑ Yes ❑No —n <br /> h. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No ` <br /> If yes, spoils storage Location: slotted <br /> s*cdon = B <br /> Covered: ❑ Yes El No ss = Ix-v+pack <br /> If yes, material: EE <br /> GROUTING or DESTRUCTION Total DeDtOZ53��� : . <br /> Depth to Water: -FI25- P n- IF <br /> — tt• <br /> Grout Material: ZVeA MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity IX-Tremie ❑Other: Type of Method: <br /> WaterCemen 411b Water Cement 94 lb <br /> allons Bas eallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest tlBags 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 /> 10/16/2017 <br /> 1868 E. Hazelton A(I nue,j Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.socehd.com <br />