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F: SAN JOAQUIN <br /> y Environmental Health Department <br /> / COUNTY <br /> cgPJ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ( � �/ 1 / Inspectoro w(4, &r�(-- CONSTRUCTION <br /> Facility Address: 5OO E. `oui5 \,e, <br /> Well Address: Total Depth: ' f _I . <br /> WP# 00 Well#: Drilling Rig Type: (�� A g ' '^fie <br /> Soil Boring#: I .Z 3 f v0 <br /> Drilling Compan C><D wl'a�rv►1 20 Set^VLeSc. Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: DN► Screen Length From: To: <br /> Consultant: d r 5 ev oc aA�eS Filter Pack From: To: <br /> Geologist: o-4 M0 J 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: COWLETION COMPLETION <br /> Method: around Surfak* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: atonoa <br /> saclon <br /> Covered: El Yes ❑No _ g-vol Pack <br /> If yes, material: <br /> as X <br /> 6� <br /> GROUTING or DESTRUCTION Total Depth: + ( _ tt <br /> Depth to Water: 13 i3 t L 10 <br /> Grout Material: C'e-t7v2-nt <br /> Gallons of Grout Used: NO 9'1100S <br /> MATERIALS/DEVELOPMENT <br /> I Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation 11Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity �4Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons 6 ZOOns Bags <br /> Thickest Thinnest #Bags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 1 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 10 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 /> 10 40 8 40 80 8 <br /> 6y 4 )DI 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />