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SAN JOAQUIN Environmental Health Department <br /> • + COUNTY- <br /> 9:,:,n? Greatness grows here <br /> 1dd <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: L'1 � 1-I Inspector: .SwKV.',rec{" CONSTRUCTION <br /> Facility Address: U6 ANLt IllP" <br /> Well Address: Total Depth: <br /> WP# M 395- Well#: Drilling Rig Type: <br /> Soil Boring#: P-1 12"2 <br /> Min 2"Annular EHD Seal Verified: El Yes []No <br /> Drilling Company: 7R <br /> Driller Onsite: (4)\QtX'T Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist:_ 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: COMPLETION CON -EMN <br /> Method: G=ndSudace T <br /> Screening Method: o�«� <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: slotted <br /> set9an <br /> Covered: ❑ Yes ❑Nogra= vul <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:1 <br /> Depth to Water: tt' <br /> Grout Material: me ax MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Poring 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 /> ❑Tremie ❑Other: Type of Method: <br /> �Gravity <br /> Water (Ceent 471b Water Cement 94 lb <br /> allons k Bas gallons Bags <br /> Thickest Thinnest s 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 /9 <br /> 15 30 6 2" 1 I 30 60 6 vv*u( t 4 ba(J S CliTb,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 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />