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SAN JOAQUIN <br /> —COUNTY-- Environmental Health Department <br /> \ � � <br /> Greatness gro::. i <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address:1►LL06 V1, fhiG Q1uigC&k4 <br /> Well Address: Total Depth: <br /> WP#ISC, t331 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drillin g Company:Com an Min 2"Annular EHD Seal Verified: El Yes El No <br /> �K-�Lt.se�. ta <br /> DrillerOnsite: ✓f w.l 'r�'ie✓cr f1J Screen Length From: To: <br /> Consultant: l-Vexl- 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-G HOUND <br /> Holding Temperature: COMPLETION COMPLEncN <br /> Method: Gewnd Surface <br /> Screening Method: gfout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> ft. <br /> tt. <br /> SPOILS = <br /> — m <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stcttad <br /> soC`on _ <br /> Covered: El Yes []No <br /> = g,, <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1 � <br /> Depth to Water: KA tt tt' <br /> Grout Material:_�po� ce 4ew <br /> Gallons of Grout Used: ��a U,t MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation E3&ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction 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 471b Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.821 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 t_ <br /> 15 30 6 30 60 6 v`d�0- O✓p-- CkCAW,C/e <br /> 17.5 35 7 35 70 7 V <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.sacehd.com <br />