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SAN JOAQUIN <br /> 2 <br /> -` Environmental Health Department <br /> COUNTY--- <br /> Greatness <br /> -- <br /> Greatness grows here. <br /> TWO <br /> Monitoring Well/Soil Boring Inspection Report <br /> 2 <br /> Date: �V' Inspector: SuvweCONSTRUCTION <br /> 6�� <br /> Facility A dress: cJ • L <br /> HSA- <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: <br /> Screen Length From: To: <br /> Consultant: H(11 to r(i►'V <br /> Filter Pack From: To: <br /> F <br /> Geologist: ,d J <br /> 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 0016FLETION CCOOMP�LEMN <br /> Method: G=nd Suiacs <br /> Screening Method: gr&A <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted �! <br /> soon :3 <br /> Covered: ❑ Yes ❑No = 9­4 <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: t _ <br /> Depth to Water: E tt• .� tt. <br /> Grout Material: N Q 0,WN111 <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation�3oring Destruction Slot Size: <br /> 11 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 ement 471b Water Cement 941b <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest 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 r <br /> 15 30 6 30 60 6 112j2— ��� ✓ �(�( <br /> 17.5 35 7 35 70 7 Q <br /> 20 40 8 40 80 8 <br /> 6 oft — 3 ba_q� 0/ Z'-Li IA�w W.Wjy � �ccl� 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />