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ully <br /> 2c°�z, SAN—dOAQUIN <br /> Environmental Health Department <br /> J COUNTY <br /> Greatness yiows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: v� I�/ J I nspector:Kkme CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes 11 No <br /> Drilling Company: (-�Yp()Q <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: ��Filter Pack From: To: <br /> �7Qrrtfb <br /> Bentonite From: To: <br /> Geologist: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El 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: CO�`'F��N COMPtFnON <br /> Method: Ground Surixs <br /> Screening Method: grout <br /> Verified Chain of Custody: ElYes El No n' <br /> ft. <br /> ft. <br /> SPOILS x. <br /> Contamination Noted: ❑ Yes El No >" <br /> If yes, spoils storage Location: sbttod <br /> sacSon <br /> Covered: ❑ Yes ❑No = g,W peack <br /> jf_yes, material: <br /> GROUTIN or DESTRUCTION Total Depth: __ <br /> IF <br /> Dept to Water: n• tt' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ell Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 'Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 94 lb <br /> gallons Bas gallons Bags <br /> Thickest Thinnest 11 Bags 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 /> r �6(1(lsm + if b1 er VVaG 10/16/2017 <br /> 1868 E. Hazelton Avenue I Sto top California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />