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SANJOAQUIN Environmental Health Department <br /> COUNTY <br /> GteotnEss grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Dates ✓�� �9 Inspector: Ben o q1✓✓L-1 vLe_ CONSTRUCTION <br /> FacilityAddress:7$50 IIA ,'c1gg v-e4 a-✓L A <br /> Well Address: Total Depth: I <br /> W P# 00 3 Well#: / Drilling Rig Type: <br /> Soil Boring#: E- <K . 6- I , �o Min 2" Annular EHD Seal Verified: ❑ Yes EJ No <br /> Drilling Company: v '4 ( l7 ri 11 -1 V1 <br /> Driller Onsite: n Screen Length From: To: <br /> Consultant: l�fie;n <br /> Filter Pack From: To: <br /> Geologist: _4_52a e( (�[,c,.t4grrez 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: COMPLE71ON CCOMPL --noN <br /> Method: Ground Surface '"+ "'—�� <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> ft. <br /> ft. <br /> SPOILS - — <br /> P <br /> Contamination Noted: ❑ Yes []No <br /> If yes,spoils storage Location: <br /> slot-'ad — <br /> sstaon '— <br /> Covered: ❑ Yes ❑No <br /> 9-01 Pack <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth:t?T 5 , I� I1C) <br /> Depth to Water: 1 10 UJa+,'—r <br /> Grout Material: N e MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: t-{O f 1 (0, 1 <br /> Casing Type: <br /> []Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation;_,113oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ,KTremie ❑Other: Type of Method: <br /> Water Ce ent 471b Water Cement 941b <br /> gallons Bas gall ons Bags <br /> Thickest Thinnest ttBags 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 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 Avenue I Stockton, California 96205 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />