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"`" SAN.��J0A0UIN <br /> � Environmental Health Department <br /> ` —COUNTY - <br /> °� Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: '414'-Ay Inspector: - CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: �r/ <br /> WP#00yr 3-1 r Well#: Drilling Rig Type: O <br /> Soil Boring#: 2F Zo­06_ <br /> Drilling Company: (.�- Fz Min 2"Annular EHD Seal Verified: ❑ Yes 0N <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 11•S Cejp Filter Pack From: To: <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 ❑No casing <br /> If yes, location and distance: height <br /> _W1 F <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONPLETION COMPLETION <br /> M <br /> Method: Gewrid Surf=* <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ❑Noj <br /> tt. <br /> SPOILS <br /> v _ e <br /> Contamination Noted: ❑ Yes El No 411i4t 60�1;W <br /> If yes, spoils storage Location: atoMd <br /> x, acn — B <br /> Covered: El Yes El No - g,vlw vac* <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 46 r <br /> Depth to Water: '7 n• — n' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation E�goring 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 /> ❑ Gravity D; remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest rrBags Thickest Thinnest 4Bags Bentonite/Gement 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 3L�t/iv -71' N7 S e"ene <br /> 125 5 25 50 5 /B S <br /> 155 30 6 30 60 6 ��X 2� �#20 <br /> 17.5 35 7 35 70 7 v <br /> 20 40 B 40 80 a M.� 3t t 5� 1 �6ti,� y�df1 e-�^�'� <br /> e,,,,_ _4/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />