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PCSk1rN'. <br /> r�z SAN ��IOAQUIN <br /> Environmental Health Department <br /> C OU N T Y--- <br /> c�CLFodr`�' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: ' 1CONSTRUCTION <br /> Facility Address: L `75 h Ofd <br /> Well Address: Total Depth: � / ,r � <br /> WP# ., 5 Well#: Drilling Rig Type: t� <br /> Soil Boring#: <br /> ceMin 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: C <br /> Driller Onsite: "T vYt � Screen Length From: To: <br /> Consultant: ���k� Styr iv��,r, YzLh Sc (/lTi��l� Filter Pack From: To: <br /> Geologist: <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 El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COLPLETION COPtEnON <br /> M <br /> Method: Grwnd Sufact <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No —`---n' <br /> ft. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: •toad '' , <br /> sacJon 54 — 3 <br /> Covered: ❑ Yes ❑No r' <br /> ti = g.,;W pad` <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ''FE <br /> Depth to Water: ;nD O_ tL n' <br /> Grout Material: n ei <br /> Gallons of Grout Used: l S q r MATERIALS/DEVELOPMENT <br /> 11 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation N-Boring Destruction gags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> (� r Filter Pack Type/Size: <br /> El Gravity ❑Tremie lOther: i�PQ�"` ( Type of Method: <br /> Water Cemen 4 1pl' Water Cemen 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest RBS Thickest Thinnest tlBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 s 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 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 1 8 <br /> c� l �O C 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 www.socehd.com <br />