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SAN -JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> /�`I7 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: q1' Inspector: �✓/Gl n CONSTRUCTION <br /> Facility Address: .n V� 61 : 6 " 14S14- <br /> Well Address: �f Total Depth: 1�/1 <br /> wP# 003 41 y 3 Well#: Drilling Rig Type: 62 I r m r� <br /> Soil Boring#: A / A oz Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: r; ti <br /> Driller Onsite: Gk ter( <br /> r/ Screen Length From: To: <br /> ' <br /> Consultant: A sK kssoup�� Filter Pack From: To: <br /> Geologist: ok7704— Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> WT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION comPLEncN <br /> Method: Ground Surface <br /> Screening Method: or«n <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No =` _ <br /> If yes, spoils storage Location: <br /> n r <br /> Covered: ElYes El No <br /> =_ <br /> g-vW pack <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: -75f"� <br /> Depth to Water: 15 - n• tt' <br /> Grout Material: <br /> Gallons of Grout Used:�,5 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Loring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity Pir7remie ❑Other: Type of Method: <br /> Water Cement 71b water Cement 941b <br /> allons Billons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest uBags 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 s 40 Bo a <br /> 156Ha�) blwS10/16/2017 <br /> 1868 E. zelton Avenue I StBckton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />