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SAN JOAQUIN <br /> 2 Environmental Health Department <br /> —_ COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 070 Inspector: ►Ol CONSTRUCTION <br /> Facility Address: Do e� 2 <br /> Well Address: L � S 0 ✓". G'/ Total Depth: <br /> wP# 00140 b y g Well#:/!/f Drilling Rig Type: (' <br /> Soil Boring#: <br /> Drilling Company: Min 2" Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: ��Utl,�n Screen Length From: To: <br /> Consultant: 1- A- s <br /> 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: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COW ETION CCOMPLEnoN <br /> Method: Ground Strf=*' + <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> R. <br /> ft. <br /> SPOILS <br /> _ e <br /> Contamination Noted: ❑ Yes ❑No =" <br /> If yes, spoils storage Location: slotted ' <br /> soon � — <br /> Covered: ❑ Yes ❑No _ t-w+>ack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 22 <br /> Depth to Water: tL <br /> Grout Material: 60"SP'-�, MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ^g 0�( <br /> � Casing Type: <br /> ❑Well Installation MWell Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation ❑Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> []Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity IXTremie ❑Other: Type of Method: <br /> Water Cemen 71b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags 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 lb 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 8 <br /> S( 16 <br /> LyS- 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />