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SAN. J OAO U IN Environmental Health Department <br /> —COUNTY- <br /> Greatness <br /> COUNTY—Greatness grows herr. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: S:Ulda'tt CONSTRUCTION <br /> Facility Address: (� nV �7 1—�(�t'166", <br /> Well Address: Total Depth: <br /> WP# C)0L40 ( 2>tV Well#: Drilling Rig Type: <br /> Soil Bo nir g#: I� 1 t��� Min 2"Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company:Nl�t;r� lud" LQ <br /> Driller Onsite: ;,SVy <br /> Screen Length From: To: <br /> Consultant: N1�Y� — Filter Pack From: To: <br /> Geologist: kP ilI1�_t'bv 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: OOWLET1°N COMPIEnoN <br /> Method: around Surfacs <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes El No -�--n' <br /> n. <br /> ft. <br /> SPOILS . <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: abn�d = - 8 <br /> on <br /> Covered: ❑ Yes ❑No = g,,,a pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: `gib C� .g%-�3-�Z Ut <br /> Depth to Water: ?J �• tt. <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation �oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ZTremie ❑Other: Type of Method: <br /> Water Cem Lsnt 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest »Bags Thickest Thinnest stBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 1 20 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 18, L 40 80 L 8 <br /> Iobugs �"11��!) lUY GJU �� r�UYIrIF'/i 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 />