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SAW MAQU111 Environmental Health Department <br /> COU NTY -- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3'04'q nspector: CONSTRUCTION <br /> Facility Address: �5 J <br /> Well Address: Total Depth: Z:;>— G / // u ) <br /> WP# 2!q6 �,' Well Drilling Rig Type: / �Ci U's <br /> Soil Boring#: <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Q Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: r <br /> Geologist: 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: CONFLHTION MAPI.EnON <br /> Method: Ground Strfaa@ <br /> Screening Method: cls <br /> Verified Chain of Custody: ❑ Yes 0 N —`---n' <br /> it. <br /> SPOILS k <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: •Ionic <br /> a.don <br /> Covered: ❑ Yes ❑No = g­+P-* <br /> If yes, material: <br /> r R^ <br /> GROUTING or DESTRUCTION Total Depth: ! <br /> Depth to Water: /A gAe'«..lc n' n' <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> cavity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gall Bas gallons Bags <br /> Thidrest h nnest #Bags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 3%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 � �45 Q �� <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 � �c1S -i [ ' y J•S <br /> zo 40 s 40 so s 0. <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.s'cehd.com <br />