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/PaujtiCI SANOAQUIN <br /> F=so cor. <br /> - NJ AQ Environmental Health Department <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: PwrSEL"" CONSTRUCTION <br /> Facility Address: 11#177 f-{uH. !'r0'' <br /> Well Address: Total Depth: ;lb' <br /> WP# vo 375/3 Well#:6-u-48 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No C <br /> Drilling Company: Screen Length From: IIYS' To: 100, <br /> Driller Onsite: e o/ L� <br /> Consultant: Cr'Za « Filter Pack From: t4fi To: 95' <br /> Geologist: Bentonite From: YS' To: *'c"' <br /> Grout From: Yrs- To: o dA sersej <br /> Public Water System Onsite: ❑ Yes El No <br /> COMPLETION EJ Stove Pipe ❑Christie Box aI <br /> Domestic Well Onsite: El Yes ❑ casing <br /> No �ras,l�•o�- Set`^� - <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CCOhtP�LEncN <br /> Method: Ground Surface <br /> Screening Method: grout — <br /> Verified Chain of Custody: El Yes ❑No M <br /> ft. <br /> tt. <br /> SPOILS = <br /> V4 = m <br /> Contamination Noted: ❑ Yes El No c �� <br /> _ g� <br /> If yes, spoils storage Location: slotted = a <br /> Covered: 11 Yes ❑Noan _ 3t <br /> = VawW pack <br /> If yes, material: max: <br /> GROUTING or DESTRUCTION Total Depth:_10_901 -_ <br /> Depth to Water: tt• Mir <br /> n' <br /> Grout Material: -yAk <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: S><w�',Al JAeO-/ <br /> Well Installation ❑Well Destruction Blank 100' Feet Screen 4's' Feet <br /> Slot Size: -c>,56' <br /> ❑Boring Installation ❑Boring Destruction 401 <br /> Bags of Cement: b w I S `f"il bs <br /> METHOD USED Bags Sand/Gravel: S3 sd►.V/ lewlk c.�4 <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: elle fs goo/- -71� <br /> Filter Pack Type/Size: 5' ,/` Sri• &a .0,(2 f•,yLrlr�r <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest kBags Thickest Thinnest NBags 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 z 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 ah,ts 47 I b.$ <br /> 12.5 25 5 25 50 5 l <br /> 15 30 6 30 60 6 3 S�� Qbaa S y-1 w,S <br /> 7 7 i <br /> 17.5 35 35 70 <br /> zo ao 7 40 s0 7 `to 5wity^li7o� to bays 1 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s6cehd.com <br />