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_",a°-�c�1 SKJOAQUIN <br /> Environmental Health Department <br /> _ <br /> l COUNTY— <br /> �!�Foac+� Greatness grows here. <br /> I� Monitoring Well/Soil Boring Inspection Report <br /> Date: ' I I r1 I� Inspector: CONSTRUCTION <br /> Facility Address: I �Il E FP 'fi - t <br /> b0 6 HSH <br /> Well Address::, Total Depth: L 25 <br /> WP# f�(��-t p Well#: Drilling Rig Type: <br /> Soil Boring#: g1 - RLQ <br /> Drilling Company: �X�(�l/L Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: U_E Screen Length From: To: <br /> Consultant: LP_a Y-a Uy\� 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 ❑No casing <br /> If yes, location and distance: TffLT height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION comptEnoN <br /> Method: G=nd Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> ft. <br /> SPOILS a; <br /> Contamination Noted: ❑ Yes ❑No =" <br /> C <br /> If yes, spoils storage Location: stood <br /> ,tat�on <br /> Covered: ❑ Yes ❑Nograviol pack_ <br /> If yes, material: iK <br /> GROUTING or DESTRUCTION Total Depth: J j 'rJ __ <br /> Depth to Water- 3f)-k V\j <br /> Grout Material: i\j lav'Lt��' <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring InstallationXBoring 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 ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b <br /> gallons Bas gallons Bags <br /> Thickest Thinnest ags 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 5 7 35 70 7 <br /> 20 0 8 40 80 8 <br /> 10/16/2017 <br /> X 3 I�c�fico eS <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />