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� pUfY - <br /> ?'°�—"c° , SAN.DIOAQUIN Environmental Health Department <br /> —COUNTY— <br /> o4r, P' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: fftw�� ��- ,^�,�; CONSTRUCTION <br /> Facility Address: C <br /> fr <br /> Well Address: V1k C Uf AJ- b? Aoj GE Total Depth: <br /> WP# Do 40 f 00 Well#: Drilling Rig Type: <br /> Soil Boring#: Lc C'/ – 7r- – �l <br /> Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: L te, <br /> � Screen Length From: To: <br /> Driller Onsite: /, , (, <br /> Cz:�tC Filter Pack From: To: <br /> Consultant: JCVVL4 <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 El No casing <br /> If yes, location and distance: IF�T height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLEr10N CC _OMPLEnON <br /> Method: Ground Surf=* <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> tt. <br /> SPOILS = <br /> — - e <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: .bttod <br /> aKJon — � <br /> Covered: ❑ Yes ❑No = 9_VW Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _� C <br /> Depth to Water: n• .� n• <br /> Grout Material: f� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation�913Slot Size: <br /> oring 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 Tremie ❑Other: Type of Method: <br /> Water /Cement 471b Water Cement 941b <br /> gall s Bas gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest J1 Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 s 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonfte 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 <br /> 15 30 6 30 60 6 <br /> 17.5 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 />