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SAN JOAQUIN Environmental Health Department <br /> COUNTY- <br /> -.,,• %: <br /> ''c9imoafiv. Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: q 22 3 Inspector: � kvyk CONSTRUCTION <br /> Facility Address: CAr ka - <br /> Well Address: Total Depth: <br /> WP#omq! i((� 4 2)S9 Well#: 75 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes END <br /> Drilling Company: <br /> Dril <br /> ler Onsite: Screen Length From: To: <br /> Consultant: Po Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box yy�� <br /> Domestic Well Onsite: ❑ Yes ❑No casing g0.11� Z`( <br /> If yes, location and distance: � height 2`1� 1 i, <br /> _1wT Zl •3 <br /> �jQ ) <br /> SAMPLING ABOVE-GROUND CHRWrY-Box ' <br /> Holding Temperature: COMPLETION coMPLEnON ty[ <br /> Method: Gro nd s`"t"0 7 <br /> Screening Method: grout 2 <br /> 51 <br /> Verified Chain of Custody: ❑ Yes ONO ft. <br /> N. <br /> �ft. _ <br /> SPOILS _ <br /> Contamination Noted: El Yes ❑No 1H t <br /> If yes,spoils storage Location: J� 0� =_ 22 <br /> Y t alonad _ B () 1 <br /> Covered: ❑ Yes ONO .«aon = pvi 13 <br /> (IV <br /> ,>R�pack <br /> If yes, material: _ -%,&A <br /> GROUTING or DESTRUCTION Total Depth: '>. 5 2�j1 tt _ •. 1 n O�1(-1�r <br /> Depth to Water: -b,�i <br /> Grout Material: Neat t;eXV` r\ r <br /> Gallons of Grout Used: so �r� ,-t i� yA. MATERIALS DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags of Cement: <br /> METHOD USED turn Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill :JS°?A-(N Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water 01ment 471 Water Cement941b <br /> allons Ba s allons Bags <br /> Thickest Thinnest ags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% MIX <br /> 2.5 5 1 ✓ 5 10 1 Benlonite per 47lb 1A1 2.47 <br /> s 15 2 30 30 2 Bentonite per 94 lb 2.8E 4.7 <br /> 7.5 15 3 15 30 3 i Y <br /> 30 20 4 IV 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 37.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <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 />