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aPau+ti.c <br /> SAN:JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> � cia?p' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Nf /7;c2c: Inspector: Fr-,d rr454- CONSTRUCTION <br /> Facility Address: i 64,c CV,- F5 %;ye —y.K!g CR %Vc <br /> Well Address: Total Depth: <br /> WP# wFoc"(104 C Well#: C P4--I Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes ED No <br /> Drilling Company: ri'i,�cllc 6,rn, r_. Screen Length From: To: <br /> Driller Onsite: T to(� t�&'t4 <br /> Consultant: Filter Pack From: To: <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 1:1 No casing <br /> If yes, location and distance: height <br /> SAMPLING asov>:-GROUND <br /> Holding Temperature: COMPLETION coMpt.ErioN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �--n' <br /> ft. <br /> ft. <br /> SPOILS . <br /> K = a <br /> 0 <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> stoned c <br /> aac�on s — <br /> Covered: ❑ Yes ❑No <br /> �: — pravd pacx <br /> If yes, material: ` <br /> GROUTING or DESTRUCTION Total Depth: Sv' � <br /> Depth to Water: 4" 24;, n• — n' <br /> Grout Material: 17vt- tea,e,1 <br /> Gallons of Grout Used: A- 7,5 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet- Screen Feet <br /> Slot Size: <br /> El Boring Installation ®Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity PTremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 <br /> 15 30 6 30 1 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.secehd.com <br />