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SAN JOAQUIN <br /> Environmental Health Department <br /> �. i --COUNTY-- <br /> Sq,_ Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 7[21[qInspector: CONSTRUCTION )f <br /> Facility A dr ss: Rp� lS t <br /> Well Address: Total Depth: <br /> WP# II_Well#: Drilling Rig Type: <br /> Soil Boring#: �� �C 62_ Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: V <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: V Filter Pack From: To: <br /> Geologist: 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 F-1 No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: COWLETION COMPLEMN <br /> Method: Gmund Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —tt- <br /> t <br /> ft. t. <br /> SPOILS =_ <br /> 4 O <br /> Contamination Noted: ❑ Yes El No — <br /> If yes,spoils storage Location: sbd <br /> s*c-jon — B <br /> Covered: ❑ Yes ❑No <br /> g—W Pack <br /> If yes, material: ren <br /> GROUTING or DESTRUCTION Total Depth: J�'Zb <br /> Depth to Water: <br /> Grout Material: Neat couy�t <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471 Water Cement 941b <br /> allons gallons Bags <br /> Thickest Thinnest ags 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 /> 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 /> 1 30 30 60 6 <br /> . <br /> 35 7 35 70 7 <br /> 20 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 1 www.s4cehd.com <br />